FDA Adverse Event Injury Summary report: N

UNKNOWN EMPRINT GENERATOR

MDR report key: 21117554 · Received January 9, 2025

Report

Report Number
1717344-2025-00052
Event Type
Injury
Date Received
January 9, 2025
Date of Event
February 12, 2024
Report Date
March 3, 2025
Manufacturer
COVIDIEN MFG DC BOULDER
Product Code
NEY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
HK
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION RECEIVED SHOWS THAT THERE IS NO INFORMATION TO REASONABLY SUGGEST THAT THE DEVICE IN THIS REPORT MAY HAVE CAUSED OR CONTRIBUTED TO A DEATH OR SERIOUS INJURY OR THAT THE DEVICE IN THIS REPORT HAS MALFUNCTIONED. THEREFORE, THIS EVENT DOES NOT MEET THE REPORTING REQUIREMENTS IN 21 CFR 803. 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.

Additional Manufacturer Narrative · 0

D10 CONCOMITANT PRODUCTS: UNK EMPRINT ANT - UNKNOWN EMPRINT ANTENNA, LOT# UNKNOWN UNK - EMPRINT GEN -UNKNOWN EMPRINT GENERATOR UNK EMPRINT ANT - UNKNOWN EMPRINT ANTENNA, LOT# UNKNOWN LITERATURE EVENTS: AUTHOR: CALVIN SZE HANG NG TITLE: SAFETY AND FEASIBILITY OF TRANSBRONCHIAL MICROWAVE ABLATION FOR SUBPLEURAL LUNG NODULES SOURCE: DOI: 10.1177/02184923241228323. 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.

Additional Manufacturer Narrative · 0

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.

Additional Manufacturer Narrative · 0

CORRECTION: B5 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.

Description of Event or Problem · 0

ACCORDING TO THE LITERATURE, FROM MARCH 2019 TO NOVEMBER 2022, 77 PATIENTS WITH 82 LUNG NODULES WERE TREATED WITH TRANSBRONCHIAL MWA IN THE HYBRID OPERATING THEATER AND ULTIMATELY INCLUDED IN THIS ANALYSIS; INCLUDING FIVE PATIENTS WITH TWO LUNG NODULES ABLATED IN TWO SEPARATE OPERATIVE SESSION. IN TOTAL, 21 CASES (25.6%) OF POSTOPERATIVE COMPLICATIONS WERE REPORTED. PNEUMOTHORAX REQUIRING DRAINAGE (5/82). OF THESE, 5 CASES WERE LIKELY DUE TO THE INADVERTENT PUNCTURE OF PLEURA DURING INSTRUMENT EXCHANGE (SUCH AS TRANSBRONCHIAL TOOLS). ONE CASE OF PNEUMOTHORAX WAS DUE TO A SIGNIFICANT TISSUE CONTRACTION DURING THE ABLATION PROCESS, LEADING TO SHIFTING OF THE CATHETER. BRONCHOPLEURAL FISTULA (1/82) REQUIRING READMISSION FOR PLEURAL DRAINAGE AND ENDOBRONCHIAL VALVE REPLACEMENT, PNEUMONIA/INFECTION (2/82) ONE WAS TREATED WITH A ROUTINE COURSE OF ORAL ANTIBIOTICS AND THE OTHER WAS TREATED WITH A PROLONGED COURSE OF ANTIBIOTICS. NONE OF THE COMPLICATIONS MENTIONED IN THIS COHORT WERE DIRECTLY RELATED TO THE DEVICE.

Description of Event or Problem · 0

ACCORDING TO THE REPORTER, FROM MARCH 2019 TO NOVEMBER 2022, 77 PATIENTS WITH 82 LUNG NODULES WERE TREATED WITH TRANSBRONCHIAL MWA IN THE HYBRID OPERATING THEATER AND ULTIMATELY INCLUDED IN THIS ANALYSIS; INCLUDING FIVE PATIENTS WITH TWO LUNG NODULES ABLATED IN TWO SEPARATE OPERATIVE SESSION. IN TOTAL, 21 CASES (25.6%) OF POSTOPERATIVE COMPLICATIONS WERE REPORTED. PNEUMOTHORAX REQUIRING DRAINAGE (5/82), BRONCHOPLEURAL FISTULA (1/82) REQUIRING READMISSION FOR PLEURAL DRAINAGE AND ENDOBRONCHIAL VALVE REPLACEMENT, PNEUMONIA/INFECTION (2/82) ONE WAS TREATED WITH A ROUTINE COURSE OF ORAL ANTIBIOTICS AND THE OTHER WAS TREATED WITH A PROLONGED COURSE OF ANTIBIOTICS.

Description of Event or Problem · 0

ACCORDING TO THE LITERATURE, FROM MARCH 2019 TO NOVEMBER 2022, 77 PATIENTS WITH 82 LUNG NODULES WERE TREATED WITH TRANSBRONCHIAL MWA IN THE HYBRID OPERATING THEATER AND ULTIMATELY INCLUDED IN THIS ANALYSIS; INCLUDING FIVE PATIENTS WITH TWO LUNG NODULES ABLATED IN TWO SEPARATE OPERATIVE SESSION. IN TOTAL, 21 CASES (25.6%) OF POSTOPERATIVE COMPLICATIONS WERE REPORTED. PNEUMOTHORAX REQUIRING DRAINAGE (5/82), BRONCHOPLEURAL FISTULA (1/82) REQUIRING READMISSION FOR PLEURAL DRAINAGE AND ENDOBRONCHIAL VALVE REPLACEMENT, PNEUMONIA/INFECTION (2/82) ONE WAS TREATED WITH A ROUTINE COURSE OF ORAL ANTIBIOTICS AND THE OTHER WAS TREATED WITH A PROLONGED COURSE OF ANTIBIOTICS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1169663 UNKNOWN EMPRINT GENERATOR SYSTEM, ABLATION, MICROWAVE AND ACCESSORIES NEY COVIDIEN MFG DC BOULDER UNKNOWN EMPRINT GENERATOR

Patients

Seq Age Sex Outcome Treatment
1 74 YR Male Required Intervention| H| O SEE H11