FDA Adverse Event Injury Summary report: N

COOK-SWARTZ DOPPLER PROBE

MDR report key: 15855196 · Received November 23, 2022

Report

Report Number
2522007-2022-00024
Event Type
Injury
Date Received
November 23, 2022
Report Date
March 23, 2023
Manufacturer
COOK VANDERGRIFT INC
Product Code
ITX
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PRODUCT CODE: ITX . PMA/510(K): K17122. THE EVENT IS CURRENTLY UNDER INVESTIGATION. A FOLLOW UP REPORT WILL BE SUBMITTED UPON RECEIPT OF ADDITIONAL INFORMATION OR COMPLETION OF THE INVESTIGATION. THIS REPORT IS REQUIRED BY THE FDA UNDER 21 CFR PART 803. THIS REPORT IS BASED ON UNCONFIRMED INFORMATION SUBMITTED BY OTHERS. NEITHER THE SUBMISSION OF THIS REPORT NOR ANY STATEMENT MADE IN IT IS INTENDED TO BE AN ADMISSION THAT ANY COOK DEVICE IS DEFECTIVE OR MALFUNCTIONED; THAT A DEATH OR SERIOUS INJURY OCCURRED; OR THAT ANY COOK DEVICE CAUSED OR CONTRIBUTED TO; OR IS LIKELY TO CAUSE OR CONTRIBUTE TO A DEATH OR SERIOUS INJURY IF A MALFUNCTION OCCURRED.

Additional Manufacturer Narrative · 0

D2B: PRODUCT CODE: ITX . G5: PMA/510(K): K171272. A DEVICE WAS NOT RETURNED FOR THIS COMPLAINT THEREFORE A PHYSICAL INVESTIGATION COULD NOT BE PERFORMING MAKING IT UNABLE TO CONFIRM THE COMPLAINT OTHER THAN BY CUSTOMER'S TESTIMONY/JOURNAL ARTICLE. THE CUSTOMER COMPLAINT/EVENT THAT WAS ENTERED WITHIN TRACKWISE: "RETAINED PROBE WAS IDENTIFIED IN PATIENT." PER THE JOURNAL ARTICLE: "DURING THE STUDY PERIOD, IMPLANTABLE DOPPLER PROBES WERE PLACED IN 323 FREE TISSUE TRANSFER PATIENTS. EIGHTEEN (5.6%) PATIENTS WERE IDENTIFIED WITH AN INCIDENTAL RADIOGRAPHIC FINDING OF A RETAINED PROBE AND WERE SUBSEQUENTLY INCLUDED IN THE ANALYSIS. REVIEWING THE MANUFACTURER AND USER FACILITY DEVICE EXPERIENCE AVAILABLE ON FOOD AND DRUG ADMINISTRATION (FDA) WEBSITE, THE AUTHORS IDENTIFIED A TOTAL OF 28 REPORTS RELATED WITH COOK-SWARTZ COMPLICATIONS.¿ THE DEVICE HISTORY RECORD (DHR) COULD NOT BE REVIEWED DUE TO THE LOT WAS UNKNOWN SPECIFIC TO THIS COMPLAINT. THIS REPORT IS REQUIRED BY THE FDA UNDER 21 CFR PART 803. THIS REPORT IS BASED ON UNCONFIRMED INFORMATION SUBMITTED BY OTHERS. NEITHER THE SUBMISSION OF THIS REPORT NOR ANY STATEMENT MADE IN IT IS INTENDED TO BE AN ADMISSION THAT ANY COOK DEVICE IS DEFECTIVE OR MALFUNCTIONED; THAT A DEATH OR SERIOUS INJURY OCCURRED; OR THAT ANY COOK DEVICE CAUSED OR CONTRIBUTED TO; OR IS LIKELY TO CAUSE OR CONTRIBUTE TO A DEATH OR SERIOUS INJURY IF A MALFUNCTION OCCURRED.

Description of Event or Problem · 0

THE ARTICLE STATED THE FOLLOWING: IN THIS SERIES, REMOVAL OF THE DEVICE WAS ATTEMPTED AT A MEAN OF 36 (RANGE, 5-165) DAYS FOLLOWING SURGERY. POTENTIAL DEVICE¿RELATED COMPLICATIONS OCCURRED IN ONLY 1 (5.5%) PATIENT, WHO UNDERWENT LOWER EXTREMITY RECONSTRUCTION AFTER ONCOLOGIC RESECTION AND SUBSEQUENTLY DEVELOPED CHRONIC DRAINING SINUS 14 MONTHS AFTER SURGERY. THE ETIOLOGY OF THE DRAINING SINUS WAS ATTRIBUTED TO THE RETAINED FILAMENT AND WAS SUCCESSFULLY TREATED WITH REMOVAL OF THE RETAINED FILAMENT.

Description of Event or Problem · 0

THE ARTICLE STATED THE FOLLOWING: IN THIS SERIES, REMOVAL OF THE DEVICE WAS ATTEMPTED AT A MEAN OF 36 (RANGE, 5-165) DAYS FOLLOWING SURGERY. POTENTIAL DEVICE¿RELATED COMPLICATIONS OCCURRED IN ONLY 1 (5.5%) PATIENT, WHO UNDERWENT LOWER EXTREMITY RECONSTRUCTION AFTER ONCOLOGIC RESECTION AND SUBSEQUENTLY DEVELOPED CHRONIC DRAINING SINUS 14 MONTHS AFTER SURGERY. THE ETIOLOGY OF THE DRAINING SINUS WAS ATTRIBUTED TO THE RETAINED FILAMENT AND WAS SUCCESSFULLY TREATED WITH REMOVAL OF THE RETAINED FILAMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2707918 COOK-SWARTZ DOPPLER PROBE Transducer, ultrasonic, diagnostic ITX COOK VANDERGRIFT INC UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other