FDA Adverse Event Death Summary report: N

PROXIMATE*ILS CURVED CIR STAPL

MDR report key: 14434710 · Received May 19, 2022

Report

Report Number
3005075853-2022-03247
Event Type
Death
Date Received
May 19, 2022
Date of Event
September 24, 2020
Report Date
May 18, 2022
Manufacturer
ETHICON ENDO-SURGERY, LLC.
Product Code
GDW
PMA / PMN Number
K983536
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

(B)(4). BATCH # UNK. THIS REPORT IS RELATED TO A JOURNAL ARTICLE, THEREFORE NO PRODUCT WILL BE RETURNED FOR ANALYSIS AND THE BATCH HISTORY RECORDS CANNOT BE REVIEWED AS THE LOT/BATCH NUMBER HAS NOT BEEN PROVIDED. 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 ETHICON DEVICE CAUSED OR CONTRIBUTED TO THE PATIENT COMPLICATIONS MENTIONED IN THE ARTICLE? IF YES, PLEASE EXPLAIN. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 0

(B)(4). DATE SENT: 06/14/2022. ADDITIONAL INFORMATION WAS REQUESTED, AND THE FOLLOWING WAS RECEIVED: NO FURTHER INFORMATION WILL BE PROVIDED BECAUSE WE CAN¿T GET ANY ADDITIONAL INFORMATION FROM THE AUTHOR.

Description of Event or Problem · 0

IT WAS REPORTED VIA JOURNAL ARTICLE: TITLE: COMPARISON OF GREATER CURVATURE AND LESSER CURVATURE CIRCULAR-STAPLED ESOPHAGOGASTROSTOMY AFTER ESOPHAGECTOMY IN PATIENTS WITH ESOPHAGEAL CANCER: A PROSPECTIVE RANDOMIZED CONTROLLED TRIAL. AUTHORS: KEN SASAKI, ITARU OMOTO, YASUTO UCHIKADO, HIROSHI OKUMURA, MASAHIRO NODA, YUSUKE TSURUDA, YOSHIAKI KITA, TAKAAKI ARIGAMI, SHINICHIRO MORI, HIROSHI KURAHARA, AKIHIRO NAKAJYO, CHIHAYA KORIYAMA, SHOJI NATSUGOE, TAKAO OHTSUKA. CITATION CITE: SURGERY TODAY (2021) 51:575¿581 HTTPS://DOI.ORG/10.1007/S00595-020-02147-8. THE PURPOSE OF THIS STUDY IS TO COMPARE THE INTEGRITY OF ESOPHAGOGASTROSTOMY BETWEEN THE ESOPHAGUS AND THE GC OR LC SIDE OF THE GASTRIC CONDUIT.USING A CIRCULAR STAPLER TO CREATE AN ANASTOMOSIS FOR ESOPHAGOGASTROSTOMY AFTER ESOPHAGECTOMY IS WELL ACCEPTED; HOWEVER, IT REMAINS UNCERTAIN IF THE GREATER CURVATURE (GC) OR LESSER CURVATURE (LC) OF THE GASTRIC CONDUIT IS BETTER FOR THE ANASTOMOSIS. THE SUBJECTS OF THIS STUDY WERE 70 PATIENTS WHO UNDERWENT ESOPHAGECTOMY AND WERE RANDOMIZED TO A ¿GC¿ GROUP AND AN ¿LC¿ GROUP (N = 35 EACH). IN THE GC GROUP THE GASTRIC CONDUIT WAS PULLED UP TO THE NECK THROUGH THE POSTERIOR MEDIASTINAL, RETROSTERNAL, OR SUBCUTANEOUS ROUTE, AND AN ESOPHAGOGASTROSTOMY WAS PERFORMED USING A PROXIMATE CURVED INTRALUMINAL STAPLER WITH A 25-MM (ETHICON ENDO- SURGERY, CINCINNATI, OH, USA) END-TO-SIDE ANASTOMOSIS. REPORTED COMPLICATION INCLUDED ANASTOMOTIC LEAKAGE (N=9), SURGICAL SITE INFECTION (N=13), RECURRENT LARYNGEAL NERVE PALSY(N=3), MORTALITY (N=1). IN CONCLUSION AL RATES AND POSTOPERATIVE COMPLICATIONS WERE COMPARABLE AMONG PATIENTS UNDERGOING ESOPHAGOGASTROSTOMY USING A CIRCULAR STAPLER AT THE GC OR LC SIDE. HOWEVER, FACTORS OTHER THAN THOSE RELATED TO THE TECHNIQUE AND PATIENTS¿ CHARACTERISTICS MAY PLAY A MAJOR ROLE BECAUSE THE LEAKAGE SITES WERE SIGNIFICANTLY DIFFERENT IN THE TWO GROUPS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1891448 PROXIMATE*ILS CURVED CIR STAPL STAPLE, IMPLANTABLE GDW ETHICON ENDO-SURGERY, LLC.

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention| D