FDA Adverse Event Death Summary report: N

UNKNOWN EEA

MDR report key: 19526937 · Received June 13, 2024

Report

Report Number
2647580-2024-02588
Event Type
Death
Date Received
June 13, 2024
Date of Event
April 11, 2024
Report Date
June 13, 2024
Manufacturer
US SURGICAL PUERTO RICO
Product Code
GDW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D10 CONCOMITANT PRODUCT: UNKNOWN EGIA SU, UNKNOWN ENDO GIA SULU (LOT#: UNKNOWN); UNKNOWN EEA (LOT#: UNKNOWN) UNKNOWN EEA (LOT#: UNKNOWN). LUCAS SOARES GERBASI, FRANCISCO TUSTUMI, VICTOR EDMOND SEID, SERGIO EDUARDO ALONSO ARAUJO. DOES TRI-STAPLE¿ TECHNOLOGY REDUCE THE RISK OF ANASTOMOTIC LEAKAGE IN COLORECTAL SURGERY? A PROPENSITY SCORE MATCHING ANALYSIS. JOURNAL OF SURGICAL ONCOLOGY 2024. DOI: 10.1002/JSO.27650. PAGES 1¿8. 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.

Description of Event or Problem · 0

ACCORDING TO THE LITERATURE SOURCE OF STUDY PERFORMED BETWEEN 2016 AND 2022, A RETROSPECTIVE STUDY EVALUATED CONSECUTIVE PATIENTS DIAGNOSED WITH COLORECTAL ADENOCARCINOMA WHO UNDERWENT ELECTIVE RECTOSIGMOIDECTOMY WITH PRIMARY ANASTOMOSIS. PATIENTS INCLUDED IN THE STUDY UNDERWENT COLORECTAL ANASTOMOSIS USING EITHER THE DIRECTIONAL STAPLING TECHNOLOGY CIRCULAR STAPLER OR THE TRISTAPLE CIRCULAR STAPLER. A TOTAL OF 336 PATIENTS WERE INCLUDED IN THE STUDY, WITH 228 PATIENTS IN THE DIRECTIONAL STAPLING TECHNOLOGY CIRCULAR STAPLER GROUP AND 108 PATIENTS IN THE TRISTAPLE CIRCULAR STAPLER GROUP. IN THE DIRECTIONAL STAPLING TECHNOLOGY CIRCULAR STAPLER GROUP, ANASTOMOTIC LEAK, UNSPECIFIED SERIOUS COMPLICATIONS, READMISSIONS AND REOPERATIONS WERE REPORTED. THERE WERE FOUR PATIENT DEATHS IN THE DIRECTIONAL STAPLING TECHNOLOGY CIRCULAR STAPLER GROUP DUE TO UNSPECIFIED CAUSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
864125 UNKNOWN EEA STAPLE, IMPLANTABLE GDW US SURGICAL PUERTO RICO UNKNOWN EEA

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death| O| R| H SEE H11