FDA Adverse Event Malfunction Summary report: N

TITAN SGS

MDR report key: 15222874 · Received August 14, 2022

Report

Report Number
3012481535-2022-00003
Event Type
Malfunction
Date Received
August 14, 2022
Date of Event
July 18, 2022
Report Date
August 14, 2022
Manufacturer
STANDARD BARIATRICS, INC.
Product Code
GDW
UDI-DI
0085167707089
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS RETURNED TO STANDARD BARIATRICS FOR EVALUATION. INVESTIGATION FOUND THAT THERE WAS DAMAGE TO THE CLOSURE SYSTEM WHICH LED TO THE DEVICE BEING INOPERABLE. THE ROOT CAUSE WAS ATTRIBUTED TO EXCESSIVE FORCE/ROTATIONS BEING APPLIED BY THE USER TO THE CLOSURE SYSTEM WHILE ATTEMPTING TO MANUALLY OPEN THE JAWS OF THE DEVICE USING THE BAILOUT KEY; RESULTING IN THE DEVICE BEING STUCK IN THE OPEN POSITION.

Description of Event or Problem · 0

DURING A SLEEVE GASTRECTOMY PROCEDURE, THE TITAN SGS SYSTEM STOPPED MID-WAY DURING FIRING AND PROMPTED THE USER TO MANUALLY BAIL OUT THE DEVICE. DURING MANUAL BAIL OUT AND USING THE BAILOUT KEY PROVIDED, THE USER RESET THE KNIFE, AND WAS ABLE TO OPEN THE TTIAN SGS JAWS TO RELEASE FROM THE STOMACH. IT WAS REPORTED THAT THE USER TURNED THE BAILOUT KEY 20-40 TIMES TO OPEN THE JAWS. THE USER WAS UNABLE TO CLOSE THE DEVICE USING THE BAILOUT KEY, WHICH RESULTED IN THE PATIENT'S INCISION SITE TO BE INCREASED TO ALLOW FOR THE REMOVAL OF THE TITAN SGS WITH THE JAWS IN THE OPEN POSITION. THE PROCEDURE WAS COMPLETED WITH A DIFFERENT STAPLER, WITH NO OBSERVED LEAKS. THE PROCEDURE WAS PROLONGED, APPROXIMATELY 15 MINUTES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2790923 TITAN SGS STAPLE, IMPLANTABLE GDW STANDARD BARIATRICS, INC. SGS23R 077-22 0085167707089

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention