FDA Adverse Event Injury Summary report: N

UNKNOWN ENDO GIA SULU

MDR report key: 14501233 · Received May 25, 2022

Report

Report Number
1219930-2022-01957
Event Type
Injury
Date Received
May 25, 2022
Date of Event
January 9, 2021
Report Date
May 25, 2022
Manufacturer
COVIDIEN LP LLC NORTH HAVEN
Product Code
GDW
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NO
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

TITLE: IMPLEMENTATION AND TRAINING WITH LAPAROSCOPIC DISTAL PANCREATECTOMY: 23-YEAR EXPERIENCE FROM A HIGH-VOLUME CENTER SOURCE: SURGICAL ENDOSCOPY (2022) 36:468¿479. HTTPS://DOI.ORG/10.1007/S00464-021-08306-3. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 0

ACCORDING TO LITERATURE SOURCE OF STUDY PERFORMED BETWEEN APRIL 1997 AND JUNE 2020,  A RETROSPECTIVE STUDY ANALYZED OUTCOMES OF PATIENTS WHO UNDERWENT LAPAROSCOPIC DISTAL PANCREATECTOMY BY FOUR SURGEONS. DURING THE PROCEDURE, THE DEVICE WAS USED TO DIVIDE THE SPLENIC VESSELS AND TO TRANSECT THE PANCREAS. THERE WERE 640 PATIENTS IN THE STUDY AND COMPLICATIONS INCLUDED: INTRAOPERATIVE BLEEDING WITH A MEDIAN OF SIXTY MILLILITERS WAS OBSERVED. PERIOPERATIVE RED BLOOD CELL TRANSFUSION WAS DONE FOR 57 PATIENTS, 33 PATIENTS HAD GRADE B/C HEMORRHAGE. CONVERSION TO OPEN SURGERY WAS NEEDED IN 14 (2.2%) PATIENTS, 6 OF THOSE DUE TO MAJOR INTRAOPERATIVE BLEEDING AND THE REMAINING 8 DUE TO ADHERENCE TO THE MAJOR VESSELS POTENTIALLY REQUIRING VASCULAR RESECTION AND RECONSTRUCTION. POSTOPERATIVE COMPLICATIONS DEVELOPED IN 224 (35%) PATIENTS INCLUDING 119 (18.6%) WITH GRADE B/C PANCREATIC FISTULA. REOPERATION WAS DONE IN 34 (5.3%) CASES, AND MEDIAN POSTOPERATIVE LENGTH OF STAY WAS 5 DAYS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
342574 UNKNOWN ENDO GIA SULU STAPLE, IMPLANTABLE GDW COVIDIEN LP LLC NORTH HAVEN UNKNOWN ENDO GIA SULU

Patients

Seq Age Sex Outcome Treatment
1 61 YR Unknown Required Intervention| H| O