FDA Adverse Event
Injury
Summary report: N
BIZACT
MDR report key: 12273585
·
Received August 4, 2021
Report
- Report Number
- 1717344-2021-01093
- Event Type
- Injury
- Date Received
- August 4, 2021
- Date of Event
- May 7, 2021
- Report Date
- August 4, 2021
- Manufacturer
- COVIDIEN MFG DC BOULDER
- Product Code
- GEI
- UDI-DI
- 10884521552456
- PMA / PMN Number
- K160539
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
TITLE: HEALTH RELATED QUALITY OF LIFE T-14 OUTCOMES FOR PEDIATRIC BIZACT TONSILLECTOMY SOURCE: MEDICINA 2021, 57, 480 PP.1-8. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
Description of Event or Problem · 1
ACCORDING TO LITERATURE SOURCE OF STUDY PERFORMED BETWEEN JULY 2016 AND OCTOBER 2019, A STUDY EVALUATED PEDIATRIC PATIENTS (AGE 1-16) WHO UNDERWENT TONSILLECTOMY USING BIZACT. THERE WERE 146 PATIENTS AND COMPLICATIONS INCLUDED: POST-TONSILLECTOMY HEMORRHAGE AND INFECTION. THREE PATIENTS REQUIRED REOPERATION FOR BLEEDING AND HOSPITAL ADMISSION WAS REQUIRED FOR INFECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1173749 | BIZACT | ELECTROSURGICAL, CUTTING & COAGULATION & ACCES | GEI | COVIDIEN MFG DC BOULDER | BZ4112- | 10884521552456 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 5 YR | Required Intervention |