BEUDAMED
    FDA Adverse Event Death Summary report: N

    ENDOWRIST

    MDR report key: 16138558 · Received January 11, 2023

    Report

    Report Number
    2955842-2022-16363
    Event Type
    Death
    Date Received
    January 11, 2023
    Date of Event
    December 2, 2022
    Report Date
    December 13, 2022
    Manufacturer
    INTUITIVE SURGICAL, INC
    Product Code
    GDW
    UDI-DI
    10886874112875
    PMA / PMN Number
    K140553
    Removal / Correction Number
    N/A
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    BU
    Reporter Occupation
    003

    Narratives

    Additional Manufacturer Narrative · 0

    BASED ON THE CURRENT INFORMATION PROVIDED, THE CAUSE OF THE PATIENT¿S POST-OPERATIVE COMPLICATION CAN BE ATTRIBUTED TO A STAPLE LINE LEAK ACCORDING TO THE SURGEON. ISI HAS NOT RECEIVED THE STAPLER INSTRUMENT OR RELOAD(S) INVOLVED WITH THIS COMPLAINT. THEREFORE, THE ROOT CAUSE OF THE ALLEGED CUSTOMER REPORTED FAILURE MODE CANNOT BE CONFIRMED. A FOLLOW-UP MDR WILL BE SUBMITTED IF THE RELOADS AND INSTRUMENT ARE RETURNED (POST FAILURE ANALYSIS EVALUATION) OR IF ADDITIONAL INFORMATION IS RECEIVED. THE STAPLER LOGS WERE REVIEWED BY AN INTUITIVE SURGICAL, INC. (ISI) ADVANCED FAILURE ANALYSIS ENGINEER (FAE) AND THE FOLLOWING FINDINGS WERE OBTAINED: THE LOGS SHOW AN ENDOWRIST STAPLER 45 INSTRUMENT WAS INSTALLED 3 TIMES ON ARM #3 AND FIRED 3 RELOADS (ALL BLUE). PER THE LOGS, THERE WERE NO INCOMPLETE CLAMPS, FIRING FAILURES, OR FAILURE TO UNCLAMPS. ON EACH INSTALL, THE USER COMPLETED 1 CLAMP AND FIRED 1 RELOAD SUCCESSFULLY. A REVIEW OF THE SYSTEM AND INSTRUMENT LOGS FOR THE PROCEDURE DATE OF (B)(6) 2022 HAS BEEN PERFORMED AND THERE WERE NO OBSERVED EVENTS IN THE AVAILABLE SYSTEM LOGS THAT WOULD SUGGEST A PRODUCT ISSUE, AND LOGGED EVENTS ARE IN LINE WITH NORMAL SYSTEM FUNCTIONALITY. MULTIPLE PROCEDURES HAVE BEEN PERFORMED ON THIS SYSTEM AFTER THIS REPORTED COMPLAINT WITH NO REPORTED ISSUES AS OF THE DATE OF THIS REPORT. A REVIEW OF THE EVENT WAS CONDUCTED BY AN ISI MEDICAL SAFETY OFFICER AND THE FOLLOWING WAS PROVIDED: THIS PATIENT HAD A STAPLE LINE LEAK THAT WAS DISCOVERED ON POST OPERATIVE DAY 3. DESPITE A DIVERSION WITH AN ILEOSTOMY AND SEVERAL WASHOUTS, THE SEPSIS PROGRESSED UNTIL THE PATIENT EXPIRED ON POST OPERATIVE DAY 10. SEVERAL CAUSES OF A STAPLE LINE LEAK MAY EXIST INCLUDING BUT ARE NOT LIMITED TO FAILURE OF THE ISI PRODUCT TO PROPERLY SEAL THE SMALL INTESTINAL STUMP, INADEQUATE CLOSURE OF THE ENTEROTOMY USED FOR PASSAGE OF THE STAPLER, AND ISCHEMIA TO THE BOWEL STUMP SEGMENT. THIS COMPLAINT IS BEING REPORTED DUE TO THE FOLLOWING CONCLUSION: AFTER A DA VINCI-ASSISTED RIGHT HEMICOLECTOMY PROCEDURE, THE CUSTOMER EXPERIENCED A STAPLE LINE LEAK. THE PATIENT UNDERWENT A REVISION SURGERY ON POD #3 VIA OPEN TECHNIQUE. TOTAL PERITONITIS WAS FOUND. AFTER SEVERAL REVISIONS OF THE ABDOMEN AND ICU TREATMENT, SEPSIS LED TO MULTIORGAN FAILURE AND THE PATIENT DIED ON POD #10 DUE TO PERITONITIS. THE SURGEON BELIEVES THAT THE CAUSE OF DEATH WAS DUE TO THE FAILED STAPLER LINE LEADING TO THE PERITONITIS.

    Description of Event or Problem · 0

    IT WAS REPORTED THAT AFTER A DA VINCI-ASSISTED RIGHT HEMICOLECTOMY PROCEDURE, THE CUSTOMER UNDERWENT A REVISION SURGERY ON POST-OPERATIVE DAY (POD) #3 VIA OPEN TECHNIQUE BY THE SAME SURGEON. THE PATIENT DIED ON POD #10 DUE TO PERITONITIS. INTUITIVE SURGICAL, INC. (ISI) FOLLOWED UP WITH THE SURGEON AND OBTAINED THE FOLLOWING INFORMATION: THE PROCEDURE WAS PERFORMED DUE TO ADENOCARCINOMA OF THE "ASCENDING COLON T2N0MO, STAGE 2." THE PROCEDURE LASTED ABOUT 3 HOURS WITH NO INTRAOPERATIVE COMPLICATIONS, MINOR BLEEDING ABOUT 10-15 ML, AND ENDED WITH AN INTRACORPOREAL ANASTOMOSIS. THE TERMINAL ILEUM WAS DIVIDED BY AN ENDOWRIST STAPLER 45 INSTRUMENT, USING ONE BLUE STAPLER 45 RELOAD. THE TRANSVERSE COLON WAS DIVIDED BY A ENDOWRIST STAPLER 45 INSTRUMENT USING TWO BLUE RELOADS. THE ANASTOMOSIS BETWEEN THE ILEUM AND TRANSVERSE COLON WAS DONE USING ONE BLUE RELOAD. ON POD #3, THE PATIENT WAS DIAGNOSED WITH POST-OPERATIVE PERITONITIS AND AN EXPLORATORY LAPAROTOMY WAS DONE. TOTAL PERITONITIS WAS FOUND, AND THE SOURCE OF INFECTION WAS LEAKAGE FROM THE STUMP OF THE SMALL INTESTINE WITH A DIAMETER OF 3 MM, AND VITAL MUCOSA WAS SEEN. THE INTESTINAL CONTENTS LEAKED THROUGH THE STAPLES. A RESECTION OF THE STUMP WAS PERFORMED, AN ILEOSTOMY PROXIMAL TO THE ANASTOMOSIS WAS DONE, AND THE ABDOMEN WAS LEFT OPEN FOR FURTHER REVISION. AFTER SEVERAL REVISIONS OF THE ABDOMEN AND ICU TREATMENT, SEPSIS LED TO MULTIORGAN FAILURE AND THE DEATH OF THE PATIENT. THE SURGEON BELIEVES THAT THE CAUSE OF THE COMPLICATION WAS DUE TO A STAPLER LINE FAILURE. NO IMAGES/VIDEO ARE AVAILABLE FOR VIEWING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1420281 ENDOWRIST STAPLER 45 RELOAD BLUE GDW INTUITIVE SURGICAL, INC 48645B-04 L90220424 10886874112875

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Female DA VINCI INSTRUMENTS AND ACCESSORIES