FDA Adverse Event Injury Summary report: N

UNKNOWN REINFORCED RELOAD

MDR report key: 13904894 · Received March 25, 2022

Report

Report Number
1219930-2022-01051
Event Type
Injury
Date Received
March 25, 2022
Date of Event
May 7, 2021
Report Date
March 25, 2022
Manufacturer
COVIDIEN LP LLC NORTH HAVEN
Product Code
GDW
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

TITLE: EFFICACY OF THE SLOW FIRING METHOD USING A REINFORCED TRIPLE-ROW STAPLER FOR PREVENTING POSTOPERATIVE PANCREATIC FISTULA DURING LAPAROSCOPIC DISTAL PANCREATECTOMY SOURCE: SURGERY TODAY (2022) 52:260¿267 PUBLISHED ONLINE: 28 JULY 2021. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 0

ACCORDING TO THE LITERATURE SOURCE OF STUDY PERFORMED THAT ANALYZED OUTCOMES OF PATIENTS WHO UNDERWENT LAPAROSCOPIC DISTAL PANCREATECTOMY USING A SLOW FIRING METHOD BETWEEN JUNE 2014 AND OCTOBER 2020. PANCREATIC TRANSECTION WAS PERFORMED USING A REINFORCED RELOAD WITH TRI-STAPLES WITH THE BLACK CARTRIDGE. THE PANCREAS WAS SLOWLY COMPRESSED WITH THE STAPLER AT THE TRANSECTION SITE, AND THE JAWS OF THE STAPLER WERE CLOSED FOR 1¿3 MIN. AFTER CLOSING THE JAWS, THE PANCREAS WAS COMPRESSED FOR ANOTHER 3 MINUTES. THERE WERE 73 PATIENTS IN THE STUDY INCLUDING 50 PATIENTS WHO ALSO UNDERWENT SPLENECTOMY. COMPLICATIONS INCLUDED: POSTOPERATIVE PANCREATIC FISTULA, INTRA-ABDOMINAL ABSCESS AND POSTOPERATIVE HEMORRHAGE. REOPERATIONS AND READMISSIONS WERE REPORTED. THERE WERE 2 PATIENTS THAT WERE NOT INCLUDED IN THE STUDY BECAUSE PROCEDURE WAS CONVERTED TO AN OPEN HAND-SEWN PROCEDURE DUE TO STAPLING FAILURE RESULTING IN SEVERE DAMAGE TO THE PANCREATIC PARENCHYMA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1054826 UNKNOWN REINFORCED RELOAD STAPLE, IMPLANTABLE GDW COVIDIEN LP LLC NORTH HAVEN UNKNOWN REINFORCED RELOAD

Patients

Seq Age Sex Outcome Treatment
1 69 YR Unknown Required Intervention| H