FDA Adverse Event Injury Summary report: N

THIRD PARTY CONMED VCARE

MDR report key: 17529975 · Received August 12, 2023

Report

Report Number
MW5136897
Event Type
Injury
Date Received
August 12, 2023
Date of Event
August 10, 2021
Report Date
August 23, 2021
Manufacturer
CONMED CORPORATION
Product Code
LFK
Report Source
Voluntary report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

THE REPORTED EVENT WAS AS FOLLOWS: DURING A DA VINCI-ASSISTED HYSTERECTOMY PROCEDURE, THE PATIENT EXPERIENCED A BLEEDING EVENT WHEN THE SURGEON OF RECORD INSERTED A THIRD PARTY "CON-MED V-CARE DEVICE" AND IT PUNCTURED THE INTERNAL AND EXTERNAL ILIAC VEIN. THIS RESULTED IN BLEEDING AND THE PROCEDURE CONVERTED TO OPEN SURGERY. THE PATIENT REQUIRED BLOOD TRANSFUSIONS AND REOPERATIONS, INCLUDING AMPUTATION OF THE PATIENT'S LEFT LEG. THE SITE RISK MANAGER SAID THAT THERE WAS "NO SUSPICION" AND THERE WAS NO ALLEGATION OF A DA VINCI PRODUCT MALFUNCTION. THE SITE RISK MANAGER ATTRIBUTED THE CAUSE OF THE BLEEDING EVENT WITH BLOOD TRANSFUSIONS AND SUBSEQUENT COMPLICATIONS WITH REOPERATIONS TO WHAT WAS DESCRIBED AS "SURGICAL ERROR" WITH USE OF THE THIRD PARTY CON-MED V-CARE DEVICE. (B)(4). THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1085583 THIRD PARTY CONMED VCARE CATHETER, FEMORAL LFK CONMED CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 Unknown