UNKNOWN REINFORCED RELOAD
Report
- Report Number
- 1219930-2024-01990
- Event Type
- Injury
- Date Received
- May 7, 2024
- Date of Event
- December 27, 2023
- Report Date
- July 23, 2024
- Manufacturer
- COVIDIEN LP LLC NORTH HAVEN
- Product Code
- GDW
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
CORRECTION: D1, D4 (MODEL#, CATALOG#) ADDITIONAL INFORMATION: G3 MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
LARS KOLLMANN, MAXIMILIAN GRUBER, JOHAN F. LOCK, CHRISTOPH-THOMAS GERMER, FLORIAN SEYFRIED. CLINICAL MANAGEMENT OF MAJOR POSTOPERATIVE BLEEDING AFTER BARIATRIC SURGERY. OBESITY SURGERY (2024) 34. HTTPS://DOI.ORG/10.1007/S11695-023-07040-0. PAGES 751¿759 MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
ACCORDING TO THE LITERATURE, A RETROSPECTIVE STUDY EVALUATED POSTOPERATIVE BLEEDING IN PATIENTS WHO UNDERWENT BARIATRIC SURGERY BETWEEN 2012 AND 2022. THERE WERE 1017 PATIENTS, OF WHOM 667 UNDERWENT GASTRIC BYPASS, AND 350 UNDER SLEEVE GASTRECTOMY. ALL SLEEVE GASTRECTOMIES WERE STAPLED USING A 60-MM PURPLE LINEAR ENDOSCOPIC STAPLING RELOADS WITH REINFORCED RELOADS USED AT THE SUBCARDIAL/PROXIMAL PART. A COMPETITOR DEVICE WAS USED IN GASTRIC BYPASS PROCEDURES. MAJOR POSTOPERATIVE INTRAABDOMINAL BLEEDING OCCURRED IN 8 SLEEVE GASTRECTOMY PATIENTS AND INTERVENTIONS INCLUDED BLOOD TRANSFUSIONS, ENDOSCOPY INTERVENTION AND REOPERATIONS. BLEEDING FROM THE STAPLE LINE WAS IDENTIFIED IN 3 OF 6 PATIENTS WHO UNDERWENT REOPERATION. ONE PATIENT DEVELOPED INTERMITTENT MULTIORGAN FAILURE DUE TO HEMORRHAGIC SHOCK FOLLOWED BY FULL RECOVERY. EXTENDED HOSPITAL STAY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 388482 | UNKNOWN REINFORCED RELOAD | STAPLE, IMPLANTABLE | GDW | COVIDIEN LP LLC NORTH HAVEN | UNKNOWN REINFORCED RELOAD |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention| H| O |