FDA Adverse Event Injury Summary report: N

ENDOPATH XCEL BLADELESS TROCAR WITH STABILITY SLEEVE-12MM DIAMETER,100 MM LENGTH

MDR report key: 1002980 · Received February 4, 2008

Report

Report Number
1527736-2008-00672
Event Type
Injury
Date Received
February 4, 2008
Date of Event
January 10, 2008
Report Date
January 11, 2008
Manufacturer
ETHICON ENDO-SURGERY, INC. (CINCINNATI)
Product Code
GCJ
PMA / PMN Number
K032676
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INFORMATION ANTICIPATED, BUT UNAVAILABLE AT THIS TIME.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A LAP GYN PROCEDURE, THE TOP SEAL WAS REMOVED AND THE SPONGE DISLODGED THE INNER SEAL CAUSING IT TO FALL INTO THE PATIENT'S ABDOMEN. THE SURGEON WAS UNAWARE THE PIECE FELL INTO THE PATIENT. THERE WAS BLEEDING AND THE SURGEON HAD TO CONVERT TO A LAPAROTOMY AND THAT IS WHEN THE PIECE WAS FOUND IN THE PATIENT. THE PIECE WAS RETRIEVED. THE DOCTOR INDICATED THAT THE CONVERSION TO A LAPAROTOMY HAD TAKEN PLACE PRIOR TO THE ISSUE WITH THE TROCAR DUE TO DIFFICULTY WITH THE ANATOMY AND EXPOSURE ISSUES. THE TROCAR WAS A CONTRIBUTING FACTOR BUT NOT THE ONLY REASON THE LAPAROTOMY WAS PERFORMED. NO OTHER CHANGE IN POSTOP CARE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENDOPATH XCEL BLADELESS TROCAR WITH STABILITY SLEEVE-12MM DIAMETER,100 MM LENGTH GCJ ETHICON ENDO-SURGERY, INC. (CINCINNATI) NA UNK

Patients

Seq Age Sex Outcome Treatment
1 YR Required Intervention