FDA Adverse Event Injury Summary report: N

NW ABLATION SYSTEM, US

MDR report key: 12142615 · Received July 9, 2021

Report

Report Number
3008769756-2021-00068
Event Type
Injury
Date Received
July 9, 2021
Date of Event
March 7, 2019
Report Date
June 9, 2021
Manufacturer
NEUWAVE MEDICAL, INC.
Product Code
NEY
UDI-DI
00853719006753
PMA / PMN Number
K160936
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). BATCH # UNK. AS THE DEVICE WAS NOT RETURNED, AN ANALYSIS INVESTIGATION COULD NOT BE PERFORMED. A CONCLUSION COULD NOT BE REACHED AS TO WHAT MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT. WE DID NOT RECEIVE A BATCH OR LOT NUMBER FOR THE PRODUCT INVOLVED IN THIS COMPLAINT. THEREFORE, WE WERE UNABLE TO CHECK MANUFACTURING RECORDS FOR ANY RELATED NON-CONFORMANCE. ATTEMPTS ARE BEING MADE TO OBTAIN THE FOLLOWING INFORMATION. TO DATE NO RESPONSE HAS BEEN PROVIDED. IF FURTHER DETAILS ARE RECEIVED AT A LATER DATE, A SUPPLEMENTAL MEDWATCH WILL BE SENT. DOES THE AUTHOR/SURGEON BELIEVE THAT THE NEUWAVE DEVICES MENTIONED IN THIS ARTICLE CAUSED/CONTRIBUTED TO THE REPORTED EVENTS IN THE ARTICLE? INVESTIGATION SUMMARY: PRODUCT WAS NOT RETURNED. BASED ON THE INFORMATION AVAILABLE, IT HAS BEEN DETERMINED THAT NO CORRECTIVE AND PREVENTIVE ACTION IS PROPOSED. THIS COMPLAINT WILL BE ACCOUNTED FOR AND MONITORED VIA POST MARKET SURVEILLANCE ACTIVITIES. IF ADDITIONAL INFORMATION IS MADE AVAILABLE, THE INVESTIGATION WILL BE UPDATED AS APPLICABLE. DEVICE HISTORY LOT: NULL. DEVICE HISTORY BATCH: NULL. DEVICE HISTORY REVIEW: THE LOT/BATCH WAS NOT PROVIDED; THEREFORE, A MANUFACTURING RECORD EVALUATION COULD NOT BE PERFORMED.

Description of Event or Problem · 1

IT WAS REPORTED VIA JOURNAL ARTICLE TITLE: THE EFFECT OF TUMOR SIZE AND LOCATION ON EFFICACY AND SAFETY OF USAND CT- GUIDED PERCUTANEOUS MICROWAVE ABLATION IN RENAL CELL CARCINOMAS AUTHORS: SEPIDEH SHAKERI1 · SOHRAB AFSHARI MIRAK1 · AMIRHOSSEIN MOHAMMADIAN BAJGIRAN1 · ALLAN PANTUCK2 · ANTHONY SISK3 · PREETI AHUJA1 · DAVID S. LU1 · STEVEN S. RAMAN1, CITATION: ABDOMINAL RADIOLOGY (2019) 44:2308¿2315 HTTPS://DOI.ORG/10.1007/S00261-019-01967-8. THIS STUDY COHORT AIMS TO EVALUATE THE EFFECT OF TUMOR SIZE AND CENTRAL LOCATION IN SHORT-TERM SAFETY AND EFFICACY OF PERCUTANEOUS CEUS- AND CT-GUIDED MWA IN BIOPSY-PROVEN RCC TUMORS. FROM JANUARY 2013 TO MARCH 2017, 56 CONSECUTIVE PATIENTS (44 MALES,25 FEMALES) MEDIAN AGE OF 66 YEARS (27¿93) WITH SUSPICIOUS RENAL MASSES,AND WHO UNDERWENT PERCUTANEOUS MWA, WERE INCLUDED IN THIS STUDY. THE TUMOR MICROWAVE ABLATION WAS PERFORMED USING ONE OR TWO COMMERCIALLY AVAILABLE 15-CM, 17-G NEEDLE ANTENNAS (NEUWAVE PR 15; NEUWAVE MEDICAL, MADISON, WIS) MATED TO A 2.45-GHZ MICROWAVE GENERATOR CAPABLE OF 65 W PER ANTENNA (CERTUS; NEUWAVE MEDICAL, MADISON, WIS). FOR EXOPHYTIC LESIONS 2 CM OR LESS, A SINGLE ANTENNA WAS GUIDED TO THE CENTER OF THE LESION, BISECTING IT. FOR ENDOPHYTIC OR LARGER THAN 2-CM LESIONS, TWO ANTENNAS WERE PLACED IN THE OUTER THIRD OF THE LESION TO TRISECT IT. THE MAJORITY OF PATIENTS (67%) HAD A FOLLOW- UP WITHIN 6¿12 MONTHS WHILE 17% (1¿2 YEARS), 10.2% (2¿3 YEARS), AND 5.8% (3¿5 YEARS). REPORTED COMPLICATION INCLUDED: SECONDARY TECHNICAL SUCCESS, LESIONS REQUIRED SECOND ABLATION. AFTER THE SECOND ABLATION THE COMPLETE NECROSIS WAS ACHIEVED WITHOUT INCREASING THE RATES OF COMPLICATION OR TUMOR RECURRENCE(N=5). LOCAL TUMOR PROGRESSION (N=4). THE OVERALL COMPLICATION WAS ENTIRELY COMPRISED OF GRADE I AND II EVENTS SUCH AS A SELF-LIMITED RETROPERITONEAL HEMATOMA AND POST-PROCEDURAL PAIN REQUIRING NARCOTICS (N=3). IT WAS CONCLUDED, THAT THE STUDY COHORT SHOWED THAT CEUS AND CT-GUIDED MWA IS A SAFE AND EFFECTIVE TREATMENT FOR RCCS REGARDLESS OF TUMOR LOCATION AND NEPHROMETRY SCORE WITH A HIGH RATE OF TECHNICAL SUCCESS, LOW COMPLICATION AND LOCAL TUMOR PROGRESSION RATES WITHIN A SHORT-TERM FOLLOW-UP PERIOD..

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1038498 NW ABLATION SYSTEM, US SYSTEM, ABLATION, MICROWAVE AND ACCESSORIES NEY NEUWAVE MEDICAL, INC. NWC1US1N 00853719006753

Patients

Seq Age Sex Outcome Treatment
1