FDA Adverse Event Injury Summary report: N

INSORB 30 STAPLER

MDR report key: 18046870 · Received November 1, 2023

Report

Report Number
1216677-2023-00146
Event Type
Injury
Date Received
November 1, 2023
Date of Event
October 17, 2023
Report Date
November 12, 2024
Manufacturer
COOPERSURGICAL, INC.
Product Code
GDW
UDI-DI
00867516000104
PMA / PMN Number
K120373
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO COOPER SURGICAL FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

DISTRIBUTION HISTORY: THE LOT NUMBER WAS NOT PROVIDED FOR THIS COMPLAINT, NO INFORMATION OF DISTRIBUTION HISTORY COULD BE PERFORMED. MANUFACTURING RECORD REVIEW: THE LOT NUMBER WAS NOT PROVIDED FOR THIS COMPLAINT, NO INFORMATION OF DISTRIBUTION HISTORY COULD BE PERFORMED. INCOMING INSPECTION REVIEW: THE LOT NUMBER WAS NOT PROVIDED FOR THIS COMPLAINT, NO INFORMATION OF DISTRIBUTION HISTORY COULD BE PERFORMED. SERVICE HISTORY RECORD : SERVICE HISTORY NOT APPLICABLE FOR THIS PRODUCT. HISTORICAL COMPLAINT REVIEW: A REVIEW OF THE 2-YEAR COMPLAINT HISTORY RELATED TO "INFECTION" SHOWS 9 SIMILAR REPORTED COMPLAINTS INCLUDING THE ONE UNDER INVESTIGATION. NONE OF THE COMPLAINTS REVIEWED WERE CONFIRMED. PRODUCT RECEIPT: THE COMPLAINT PRODUCT WAS NOT RETURNED. VISUAL EVALUATION: THE COMPLAINT PRODUCT WAS NOT RETURNED, NO VISUAL INSPECTION COULD BE PERFORMED. FUNCTIONAL EVALUATION: THE COMPLAINT PRODUCT WAS NOT RETURNED, NO FUNCTIONAL INSPECTION COULD BE PERFORMED. ROOT CAUSE: NOT ENOUGH INFORMATION TO DEFINE A ROOT CAUSE FOR THIS COMPLAINT, HOWEVER THE SURGICAL REPRESENTATIVE REACHED THE L&D DIRECTOR OF THE HOSPITAL AND THEY DO NOT BELIEVE THAT INSORB WAS THE CAUSAL FACTOR IN THESE CASES.

Additional Manufacturer Narrative · 0

UPDATED: B4, D2B, D4, G3, G6, H2, H11. CORRECTION: G1. NO CHANGE TO THE FINAL INVESTIGATION FINDINGS. UPDATING THE UDI NUMBER. CORRECTION TO EMAIL CONTACT.

Description of Event or Problem · 0

CASE 1/8. HOSPITAL HAS REPORTED AN INVESTIGATION INTO AN INCREASED RATE OF SURGICAL SITE INFECTIONS (SSI) RELATED TO CAESAREAN SECTIONS. IT WAS REPORTED THAT 8 RECENT CASES, ALL INSORB C-SECTION CLOSURES, RESULTED IN SSI'S. MAJORITY OF DOCTORS USE THE INSORB STAPLER FOR C-SECTIONS. THIS WAS A NOTICEABLE UPTICK IN DEPARTMENT INFECTION RATE. AFTER INVESTIGATION, THE HOSPITAL DOES NOT BELIEVE THAT THE INSORB STAPLER WAS THE CAUSAL FACTOR IN THESE CASES. RATHER, THEY BELIEVE THAT THE ISSUES STEM FROM LAPSES IN STERILITY AND INFECTION CONTROL MEASURES AS PRACTICED BY THEIR STAFF. HOSPITAL IS CORRECTING THROUGH RE-EDUCATION AND ENHANCED GUIDELINES. STAPLERS ARE NOT BEING RETURNED. NO ADDITIONAL INFORMATION IS AVAILABLE. 2030 INSORB STAPLER 2023-10-0000418.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION IS AVAILABLE.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2033540 INSORB 30 STAPLER SKIN STAPLER/STAPLE, BIOABSORBABLE GDW COOPERSURGICAL, INC. 2030 UNKNOWN 00867516000104

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention