FDA Adverse Event Injury Summary report: N

UNKNOWN ENDO GIA SULU

MDR report key: 14553701 · Received May 31, 2022

Report

Report Number
1219930-2022-02029
Event Type
Injury
Date Received
May 31, 2022
Date of Event
July 13, 2021
Report Date
June 13, 2022
Manufacturer
COVIDIEN LP LLC NORTH HAVEN
Product Code
GDW
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
HU
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

TITLE: A SAFETY STUDY OF LAPAROSCOPIC SINGLE-ANASTOMOSIS DUODENO-ILEAL BYPASS WITH GASTRIC PLICATION (SADI-GP) IN THE MANAGEMENT OF MORBID OBESITY SOURCE: LANGENBECK'S ARCHIVES OF SURGERY (2022) 407:845¿860 HTTPS://DOI.ORG/10.1007/S00423-021-02276-9. RECEIVED: 21 APRIL 2021/ACCEPTED: 13 JULY 2021 © THE AUTHOR(S) 2021. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 0

NEW INFORMATION HAS BEEN RECEIVED, AND REASSESSMENT OF THE COMPLAINT FOUND THAT IT IS NO LONGER A REPORTABLE ISSUE. THE EVENT IS NO LONGER ASSOCIATED WITH A SERIOUS INJURY OR POTENTIAL FOR SERIOUS INJURY WITH REOCCURRENCE. MEDTRONIC IS SUBMITTING THIS REPORT TO COMPLY WITH FDA REPORTING REGULATIONS UNDER 21 CFR PARTS 4 AND 803. THIS REPORT IS BASED UPON INFORMATION OBTAINED BY MEDTRONIC, WHICH THE COMPANY MAY NOT HAVE BEEN ABLE TO FULLY INVESTIGATE OR VERIFY PRIOR TO THE DATE THE REPORT WAS REQUIRED BY THE FDA. MEDTRONIC HAS MADE REASONABLE EFFORTS TO OBTAIN MORE COMPLETE INFORMATION AND HAS PROVIDED AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. IN PARTICULAR, THIS REPORT DOES NOT CONSTITUTE AN ADMISSION BY ANYONE THAT THE PRODUCT DESCRIBED IN THIS REPORT HAS ANY ¿DEFECTS¿ OR HAS ¿MALFUNCTIONED¿. THESE WORDS ARE INCLUDED IN THE FDA 3500A FORM AND ARE FIXED ITEMS FOR SELECTION CREATED BY THE FDA TO CATEGORIZE THE TYPE OF EVENT SOLELY FOR THE PURPOSE OF REGULATORY REPORTING. MEDTRONIC OBJECTS TO THE USE OF THESE WORDS AND OTHERS LIKE THEM BECAUSE OF THE LACK OF DEFINITION AND THE CONNOTATIONS IMPLIED BY THESE TERMS. THIS STATEMENT SHOULD BE INCLUDED WITH ANY INFORMATION OR REPORT DISCLOSED TO THE PUBLIC UNDER THE FREEDOM OF INFORMATION ACT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. A GOOD FAITH EFFORT WILL BE MADE TO OBTAIN THE APPLICABLE INFORMATION RELEVANT TO THE REPORT. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 0

ACCORDING TO THE LITERATURE, A STUDY ANALYZED OUTCOMES OF PATIENTS WHO UNDERWENT SINGLE-ANASTOMOSIS DUODENO-ILEAL BYPASS WITH SLEEVE GASTRECTOMY BETWEEN OCTOBER 2018 AND NOVEMBER 2019. AN END-TO-SIDE DUODENO-ILEOSTOMY ANASTOMOSIS WAS PERFORMED USING THE SUTURE. THERE WERE 17 PATIENTS IN THE STUDY AND ONE PATIENT EXPERIENCE POSTOPERATIVE ANASTOMOSIS LEAKAGE REQUIRING REOPERATION (TREATED LAPAROSCOPICALLY BY STITCHES). PULMONARY INSUFFICIENCY AND VOMITING WERE NOT RELATED TO THE DEVICES.

Description of Event or Problem · 0

ACCORDING TO THE LITERATURE, A STUDY ANALYZED OUTCOMES OF PATIENTS WHO UNDERWENT SINGLE-ANASTOMOSIS DUODENO-ILEAL BYPASS WITH SLEEVE GASTRECTOMY BETWEEN OCTOBER 2018 AND NOVEMBER 2019. AN END-TO-SIDE DUODENO-ILEOSTOMY ANASTOMOSIS WAS PERFORMED USING THE SUTURE. THERE WERE 17 PATIENTS IN THE STUDY AND ONE PATIENT EXPERIENCE POSTOPERATIVE ANASTOMOSIS LEAKAGE REQUIRING REOPERATION (TREATED LAPAROSCOPICALLY BY STITCHES). COMPLICATION NOT RELATED TO THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
318860 UNKNOWN ENDO GIA SULU STAPLE, IMPLANTABLE GDW COVIDIEN LP LLC NORTH HAVEN UNKNOWN ENDO GIA SULU

Patients

Seq Age Sex Outcome Treatment
1 56 YR Female Required Intervention