FDA Adverse Event Injury Summary report: N

LIGUORY NASAL BILIARY DRAINAGE SET

MDR report key: 10029284 · Received May 6, 2020

Report

Report Number
3001845648-2020-00282
Event Type
Injury
Date Received
May 6, 2020
Date of Event
January 1, 2013
Report Date
October 20, 2020
Manufacturer
COOK IRELAND LTD
Product Code
FGE
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

AS THE RPN IS UNKNOWN THE PMA/510(K)# FOR THE ENDB FAMILY IS K180868. THIS SUPPLEMENTAL REPORT IS BEING SUBMITTED AS A CANCELLATION REPORT DUE TO THE REPORTABLE INCIDENT ALREADY BEING COVERED IN MDR REFERENCE # 3001845648-2020-00277

Description of Event or Problem · 0

KAWASHIMA ET AL 2013 - PREOPERATIVE ENDOSCOPIC NASOBILIARY DRAINAGE IN 164 CONSECUTIVE PATIENTS WITH SUSPECTED PERIHILAR CHOLANGIOCARCINOMA TO ASSESS THE CLINICAL BENEFITS OF PREOPERATIVE ENDOSCOPIC NASOBILIARY DRAINAGE (ENBD) IN PATIENTS WITH PERIHILAR CHOLANGIOCARCINOMA. THE FOLLOWING IS A LIST OF POTENTIAL RPN¿S: ENBD (RPN UNKNOWN), ENBD-5 LIGUORY, ENBD-5 LIGUORY-RT, ENBD-7, ENBD-7 LIGUORY-C, ENBD-7-LIGUORY-RT, ENBD-7-NAG-C CUSTOMER REPORTED PRODUCT QUANTITY IS UNKNOWN. AN ADDITIONAL PERCUTANEOUS TRANSHEPATIC BILIARY DRAINAGE WAS REQUIRED IN 21 (12.8%) OF THE 164 PATIENTS BECAUSE OF POOR DRAINAGE AND/OR CHOLANGITIS THIS SUPPLEMENTAL REPORT IS BEING SUBMITTED AS A CANCELLATION REPORT DUE TO THE REPORTABLE INCIDENT ALREADY BEING COVERED IN MDR REFERENCE # 3001845648-2020-00277

Additional Manufacturer Narrative · 1

INVESTIGATION IS STILL PENDING, A FOLLOW UP MDR WILL BE SUBMITTED TO INCLUDE THE INVESTIGATION CONCLUSIONS. AS THE RPN IS UNKNOWN THE PMA/510(K)# FOR THE ENDB FAMILY IS K180868.

Description of Event or Problem · 1

KAWASHIMA ET AL 2013 - PREOPERATIVE ENDOSCOPIC NASOBILIARY DRAINAGE IN 164 CONSECUTIVE PATIENTS WITH SUSPECTED PERIHILAR CHOLANGIOCARCINOMA TO ASSESS THE CLINICAL BENEFITS OF PREOPERATIVE ENDOSCOPIC NASOBILIARY DRAINAGE (ENBD) IN PATIENTS WITH PERIHILAR CHOLANGIOCARCINOMA. THE FOLLOWING IS A LIST OF POTENTIAL RPN¿S: ENBD (RPN UNKNOWN), ENBD-5 LIGUORY, ENBD-5 LIGUORY-RT, ENBD-7, ENBD-7 LIGUORY-C, ENBD-7-LIGUORY-RT, ENBD-7-NAG-C. CUSTOMER REPORTED PRODUCT QUANTITY IS UNKNOWN. AN ADDITIONAL PERCUTANEOUS TRANSHEPATIC BILIARY DRAINAGE WAS REQUIRED IN 21 (12.8%) OF THE 164 PATIENTS BECAUSE OF POOR DRAINAGE AND/OR CHOLANGITIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
491096 LIGUORY NASAL BILIARY DRAINAGE SET FGE CATHETER, BILIARY, DIAGNOSTIC FGE COOK IRELAND LTD UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention