FDA Adverse Event Malfunction Summary report: N

COTTON-LEUNG BILIARY STENT

MDR report key: 18864478 · Received March 8, 2024

Report

Report Number
3001845648-2024-00087
Event Type
Malfunction
Date Received
March 8, 2024
Date of Event
May 12, 2022
Report Date
March 29, 2024
Manufacturer
COOK IRELAND LTD
Product Code
FGE
PMA / PMN Number
K851962
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CANCELLATION REPORT IS BEING SUBMITTED FOR THIS COMPLAINT. THIS COMPLAINT CAPTURES EVENTS THAT OCCURRED IN THE "WANG ET. AL, 2020" LITERATURE PAPER. THE"SHIN HEE KIM ET. AL, 2019 "ARTICLE, WAS REFERENCED IN THIS LITERATURE PAPER. THIS "SHIN HEE KIM ET. AL, 2019" LITERATURE ARTICLE WAS NOT AVAILABLE TO COOK IRELAND AT THE TIME OF REPORTING THE WANG ET. AL, 2020 LITERATURE PAPER. ADDITIONAL COMPLAINTS HAVE NOW BEEN OPENED IN RELATION TO THE "SHIN HEE KIM ET. AL, 2019" ARTICLE, AS THIS IS THE ARTICLE IN WHICH THE ADVERSE EVENTS OCCURRED AND THE "WANG ET. AL, 2020" WAS A RETROSPECTIVE SUMMARY OF RELATED CASES FOUND IN LITERATURE. REFERENCE (B)(4) / MDR REF#3001845648-2024-00144. THIS COMPLAINT IS NO LONGER REQUIRED.

Additional Manufacturer Narrative · 0

INVESTIGATION IS STILL PENDING, A FOLLOW UP MDR WILL BE SUBMITTED TO INCLUDE THE INVESTIGATION CONCLUSIONS.

Description of Event or Problem · 0

CANCELLATION REPORT IS BEING SUBMITTED FOR THIS COMPLAINT. THIS COMPLAINT CAPTURES EVENTS THAT OCCURRED IN THE "WANG ET. AL, 2020" LITERATURE PAPER. THE"SHIN HEE KIM ET. AL, 2019 "ARTICLE, WAS REFERENCED IN THIS LITERATURE PAPER. THIS "SHIN HEE KIM ET. AL, 2019" LITERATURE ARTICLE WAS NOT AVAILABLE TO COOK IRELAND AT THE TIME OF REPORTING THE WANG ET. AL, 2020 LITERATURE PAPER. ADDITIONAL COMPLAINTS HAVE NOW BEEN OPENED IN RELATION TO THE "SHIN HEE KIM ET. AL, 2019" ARTICLE, AS THIS IS THE ARTICLE IN WHICH THE ADVERSE EVENTS OCCURRED AND THE "WANG ET. AL, 2020" WAS A RETROSPECTIVE SUMMARY OF RELATED CASES FOUND IN LITERATURE. REFERENCE (B)(4) / MDR REF#3001845648-2024-00144. THIS COMPLAINT IS NO LONGER REQUIRED.

Description of Event or Problem · 0

WANG ET AL., 2020 ¿ DUODENAL PERFORATIONS SECONDARY TO A MIGRATED BILIARY PLASTIC STENT SUCCESSFULLY TREATED BY ENDOSCOPE: CASE-REPORT AND REVIEW OF THE LITERATURE. PERFORATION-RELATED SIGNS AND SYMPTOMS: CONSTANT MILD ABDOMINAL PAIN. DIAGNOSTIC METHOD: CT. THERAPEUTIC METHOD: ENDOSCOPIC REMOVAL OF PS. IMPROVED BY USING SNARE AND CLOSURE OF PERFORATION BY HEMOCLIPS. THIS COMPLAINT WAS OPENED TO CAPTURE 1 PATIENT WHO EXPERIENCED PERFORATION WHICH INVOLVED A CLSO. THIS COMPLAINT WAS OPENED DUE TO LITERATURE REVIEWED BY WANG ET. AL, 2020 IN TABLE 2 SUMMARY OF RELATED CASES FOUND IN THE LITERATURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2163952 COTTON-LEUNG BILIARY STENT FGE CATHETER, BILIARY, DIAGNOSTIC FGE COOK IRELAND LTD UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 84 YR Female Required Intervention