FDA Adverse Event Death Summary report: N

UNKNOWN ENDO GIA SULU

MDR report key: 23464140 · Received November 4, 2025

Report

Report Number
1219930-2025-05080
Event Type
Death
Date Received
November 4, 2025
Date of Event
June 3, 2025
Report Date
November 4, 2025
Manufacturer
COVIDIEN SURGICAL
Product Code
GDW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NI
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D10 CONCOMITANT PRODUCTS: UNKNOWN EGIA SU, UNKNOWN ENDO GIA SULU (LOT#:UNKNOWN), UNKNOWN LIGASUR, UNKNOWN LIGASURE INSTRUMENT (LOT#:UNKNOWN) ABUCHI OKARO, METABOLIC/BARIATRIC CLINICAL PRACTICE IN LAGOS, NIGERIA: A RETROSPECTIVE REVIEW OF THE CASES AND OUTCOMES OF OUR 10-YEAR EXPERIENCE, 2025, PANAFRICAN MEDICAL JOURNAL 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, A RETROSPECTIVE STUDY COMPARED THE OUTCOMES OF PATIENTS UNDERGOING METABOLIC/BARIATRIC SURGERY FOR THE TREATMENT OF OBESITY BETWEEN JANUARY 2012 AND JUNE 2022. IT WAS NOTED THAT WHEN PERFORMING A LAPAROSCOPIC SLEEVE GASTRECTOMY, DISSECTION WAS PERFORMED WITH THE JAW SEALER OR A COMPETITOR PRODUCT, AND CUTTING AND STAPLING WERE PERFORMED WITH A LINEAR STAPLER OR A COMPETITOR PRODUCT. ADDITIONALLY, ONE OF THE PATIENTS THAT EXPERIENCED STAPLE LINE BLEEDING DIED OF MULTI ORGAN FAILURE SECONDARY TO HEMOLYTIC BLOOD TRANSFUSION REACTION. METABOLIC/BARIATRIC CLINICAL PRACTICE IN LAGOS, NIGERIA: A RETROSPECTIVE REVIEW OF THE CASES AND OUTCOMES OF OUR 10-YEAR EXPERIENCE, ABUCHI OKARO, 2025, PANAFRICAN MEDICAL JOURNAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
212068 UNKNOWN ENDO GIA SULU STAPLE, IMPLANTABLE GDW COVIDIEN SURGICAL UNKNOWN ENDO GIA SULU

Patients

Seq Age Sex Outcome Treatment
1 41 YR Female Death