FDA Adverse Event Injury Summary report: N

SENHANCE

MDR report key: 17774532 · Received September 19, 2023

Report

Report Number
3007593944-2023-00007
Event Type
Injury
Date Received
September 19, 2023
Date of Event
May 28, 2022
Report Date
October 12, 2023
Manufacturer
ASENSUS SURGICAL, INC.
Product Code
NAY
PMA / PMN Number
K171120
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BASED ON THE COMPLAINT DETAILS ((B)(4)), THE PATIENT EXPERIENCED NARROW STENOSIS IN THE GASTRO-ESOPHAGEAL AREA AND ASSOCIATED VOMITING FOR WHICH PATIENT WAS TREATED WITH ANTIEMETICS (DOMPERIDONE; TOTAL DOSAGE ADMINISTRATED: 50,00 MG) AND PERFORMED AN OGD (OESOPHAGOGASTRODUODENOSCOPY) WITH DILATATION FOR (B)(6) 2022 DATE OF RESOLUTION. THIS EVENT DID NOT OCCUR WITHIN THE UNITED STATES. THIS EVENT OCCURRED AT (B)(6) IN GERMANY. THE EVENT OCCURRED ON 28-MAY-2022, AND ASENSUS SURGICAL WAS MADE AWARE ON 29-JUNE-2022. ACCORDING TO THE INVESTIGATION, FURTHER INTERVIEW QUESTIONS POSED TO THE SURGEON CONFIRM THAT PATIENT ID (B)(6) BELONGED TO A MALE PATIENT WITH AN INGUINAL HERNIA, WITHOUT SURGICAL PROBLEMS. THE CORRECTED PATIENT CREDENTIALS FOR THIS PARTICULAR EVENT IS A FEMALE PATIENT WITH ID (B)(6) AND WAS FOUND TO ALREADY BE HANDLED IN A SEPARATE (B)(4) FOR THE SERIOUS ADVERSE EVENT ASSOCIATED WITH VERIFIED FEMALE PATIENT ID (B)(6). THEREFORE, AS NO SERIOUS ADVERSE EVENT OCCURRED ON THE MALE PATIENT ID (B)(6), THIS COMPLAINT IS DEEMED ERRONEOUS. ASENSUS SURGICAL IS REPORTING THIS FOLLOWUP WITH THE CORRECTED PATIENT DATA TO UPDATE THE INITIAL MDR REPORT SUBMITTED ON 19-SEPTEMBER-2023.

Description of Event or Problem · 0

THE COMPLAINANT, (B)(6), REPORTED THAT A PATIENT EXPERIENCED NARROW STENOSIS IN THE GASTRO-ESOPHAGEAL AREA AND VOMITING FOR WHICH TREATMENT WITH ANTIEMETICS WAS ADMINISTRATED (DOMPERIDONE-50,00 MG TOTAL DOSAGE); ADDITIONALLY, AN OGD + DILATATION WAS PERFORMED FOR A (B)(6) 2022 DATE OF RESOLUTION. IT WAS REPORTED THAT CAUSALITY TO THE SENHANCE SURGICAL SYSTEM WAS POSSIBLE. THIS EVENT DID NOT OCCUR WITHIN THE UNITED STATES. THE EVENT OCCURRED IN (B)(6). ADDITIONALLY, THIS EVENT OCCURRED ON (B)(6) 2022, AND ASENSUS SURGICAL WAS INTERNALLY MADE AWARE ON 29-JUNE-2022.

Description of Event or Problem · 0

THE COMPLAINANT, BETTINA PFEIFFER, REPORTED THAT A PATIENT EXPERIENCED NARROW STENOSIS IN THE GASTRO-ESOPHAGEAL AREA AND AND VOMITING FOR WHICH TREATMENT WITH ANTIEMETICS WAS ADMINISTRATED (DOMPERIDONE-50,00 MG TOTAL DOSAGE); ADDITIONALLY, AN OGD + DILATATION WAS PERFORMED FOR (B)(6) 2022 DATE OF RESOLUTION. IT WAS REPORTED THAT CAUSALITY TO THE SENHANCE SURGICAL SYSTEM WAS POSSIBLE. THIS EVENT DID NOT OCCUR WITHIN THE UNITED STATES. THE EVENT OCCURRED IN (B)(6) IN GERMANY. ADDITIONALLY, THIS EVENT OCCURRED ON 28-MAY-2022, AND ASENSUS SURGICAL WAS INTERNALLY MADE AWARE ON 29-JUNE-2022.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1817939 SENHANCE SENHANCE SURGICAL SYSTEM NAY ASENSUS SURGICAL, INC.

Patients

Seq Age Sex Outcome Treatment
1 Female Hospitalization| R