FDA Adverse Event Injury Summary report: N

SLIMLINE

MDR report key: 19288251 · Received May 10, 2024

Report

Report Number
2124215-2024-28430
Event Type
Injury
Date Received
May 10, 2024
Date of Event
September 1, 2016
Report Date
June 26, 2024
Manufacturer
LUMENIS LTD
Product Code
GEX
PMA / PMN Number
K170121
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

VILLA, L.; DIONI, P.; CANDELA, L.; VENTIMIGLIA, E.; DE ANGELIS, M.; CORSINI, C.; ROBESTI, D.; FANTIN, M.; D'ARMA, A.; PROIETTI, S.; ET AL. UNDERSTANDING THE ROLE OF URETERAL ACCESS SHEATH IN PREVENTING POST-OPERATIVE INFECTIOUS COMPLICATIONS IN STONE PATIENTS TREATED WITH URETEROSCOPY AND HO:YAG LASER LITHOTRIPSY: RESULTS FROM A TERTIARY CARE REFERRAL CENTER. J. CLIN. MED. 2023, 12, 1457. HTTPS:// DOI.ORG/10.3390/JCM12041457.

Additional Manufacturer Narrative · 0

VILLA, L.; DIONI, P.; CANDELA, L.; VENTIMIGLIA, E.; DE ANGELIS, M.; CORSINI, C.; ROBESTI, D.; FANTIN, M.; D'ARMA, A.; PROIETTI, S.; ET AL. UNDERSTANDING THE ROLE OF URETERAL ACCESS SHEATH IN PREVENTING POST-OPERATIVE INFECTIOUS COMPLICATIONS IN STONE PATIENTS TREATED WITH URETEROSCOPY AND HO:YAG LASER LITHOTRIPSY: RESULTS FROM A TERTIARY CARE REFERRAL CENTER. J. CLIN. MED. 2023, 12, 1457. HTTPS:// DOI.ORG/10.3390/JCM12041457.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC VIA AN ARTICLE PUBLISHED IN THE JOURNAL OF CLINICAL MEDICINE THAT A STUDY WAS CONDUCTED IN ORDER TO INVESTIGATE WHETHER THE USE OF URETERAL ACCESS SHEATHS (UAS) WOULD AFFECT THE POSTOPERATIVE INFECTIOUS COMPLICATIONS RATES IN STONE PATIENTS WHO WERE TREATED WITH URETEROSCOPY (URS) PROCEDURES. DATA FROM 369 PATIENTS WHO WERE TREATED WITH URS FROM SEPTEMBER 2016 TO DECEMBER 2021 AT A SINGLE INSTITUTION WERE ANALYZED. ALL PROCEDURES WERE PERFORMED WITH THE PATIENTS UNDER GENERAL ANESTHESIA AND PLACED INTO A LITHOTOMY POSITION. A 100W HO:YAG CONSOLE WITH A 200 MICROMETER LASER FIBER AND A REGULAR ZEROTIP BASKET WERE USED TO PERFORM THE PROCEDURES. AFTER ALL OF THE PROCEDURES, A DOUBLE J (DJ) STENT WAS PLACED AND THE REMOVED IN AN OUTPATIENT SETTING WITHIN 7-10 DAYS POSTOPERATIVELY. OUT OF THE 369 PATIENTS, A TOTAL OF 451 PROCEDURES WERE PERFORMED. A TOTAL OF 52 PATIENTS REQUIRED MORE THAN ONE URS PROCEDURE: 38 PATIENTS UNDERWENT TWO PROCEDURES, 10 PATIENTS UNDERWENT THREE PROCEDURES, AND FOUR PATIENTS UNDERWENT FOUR OR MORE PROCEDURES. OUT OF THE 451 PROCEDURES, A TOTAL OF 52 PATIENTS EXPERIENCED FEVER, 10 PATIENTS HAD SEPSIS, AND SIX PATIENTS HAD SEPTIC SHOCK. OUT OF THE 52 CASES OF FEVER, 41 OCCURRED AT THE FIRST PROCEDURE, 5 OCCURRED AT THE SECOND PROCEDURE, AND 6 OCCURRED AT OR AFTER THE THIRD PROCEDURE. OUT OF THE 10 CASES OF UROSEPSIS, 8 OCCURRED AT THE FIRST PROCEDURE AND 2 OCCURRED AT THE THIRD PROCEDURE. OUT OF THE SIX CASES SEPTIC SHOCK, 5 OCCURRED AT THE 1ST PROCEDURE AND 1 OCCURRED AT THE THIRD PROCEDURE.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC VIA AN ARTICLE PUBLISHED IN THE JOURNAL OF CLINICAL MEDICINE THAT A STUDY WAS CONDUCTED IN ORDER TO INVESTIGATE WHETHER THE USE OF URETERAL ACCESS SHEATHS (UAS) WOULD AFFECT THE POSTOPERATIVE INFECTIOUS COMPLICATIONS RATES IN STONE PATIENTS WHO WERE TREATED WITH URETEROSCOPY (URS) PROCEDURES. DATA FROM 369 PATIENTS WHO WERE TREATED WITH URS FROM SEPTEMBER 2016 TO DECEMBER 2021 AT A SINGLE INSTITUTION WERE ANALYZED. ALL PROCEDURES WERE PERFORMED WITH THE PATIENTS UNDER GENERAL ANESTHESIA AND PLACED INTO A LITHOTOMY POSITION. A 100W HO:YAG CONSOLE WITH A 200 MICROMETER LASER FIBER AND A REGULAR ZEROTIP BASKET WERE USED TO PERFORM THE PROCEDURES. AFTER ALL OF THE PROCEDURES, A DOUBLE J (DJ) STENT WAS PLACED AND THE REMOVED IN AN OUTPATIENT SETTING WITHIN 7-10 DAYS POSTOPERATIVELY. OUT OF THE 369 PATIENTS, A TOTAL OF 451 PROCEDURES WERE PERFORMED. A TOTAL OF 52 PATIENTS REQUIRED MORE THAN ONE URS PROCEDURE: 38 PATIENTS UNDERWENT TWO PROCEDURES, 10 PATIENTS UNDERWENT THREE PROCEDURES, AND FOUR PATIENTS UNDERWENT FOUR OR MORE PROCEDURES. OUT OF THE 451 PROCEDURES, A TOTAL OF 52 PATIENTS EXPERIENCED FEVER, 10 PATIENTS HAD SEPSIS, AND SIX PATIENTS HAD SEPTIC SHOCK. OUT OF THE 52 CASES OF FEVER, 41 OCCURRED AT THE FIRST PROCEDURE, 5 OCCURRED AT THE SECOND PROCEDURE, AND 6 OCCURRED AT OR AFTER THE THIRD PROCEDURE. OUT OF THE 10 CASES OF UROSEPSIS, 8 OCCURRED AT THE FIRST PROCEDURE AND 2 OCCURRED AT THE THIRD PROCEDURE. OUT OF THE SIX CASES SEPTIC SHOCK, 5 OCCURRED AT THE 1ST PROCEDURE AND 1 OCCURRED AT THE THIRD PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2498678 SLIMLINE POWERED LASER SURGICAL INSTRUMENT GEX LUMENIS LTD UNK-P-SLIMLINE_FIBERS

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Hospitalization| R