FDA Adverse Event Injury Summary report: N

CLIP, IMPLANTABLE

MDR report key: 24779673 · Received April 3, 2026

Report

Report Number
3005075853-2026-02473
Event Type
Injury
Date Received
April 3, 2026
Date of Event
February 9, 2026
Report Date
April 2, 2026
Manufacturer
ETHICON ENDO-SURGERY, LLC.
Product Code
FZP
PMA / PMN Number
K864102
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

(B)(4). DATE SENT: 4/2/2026. D4: BATCH # UNK. D4: UDI: AS THE CATALOG/MODEL NUMBER WAS NOT PROVIDED, THE (01)GTIN IS NOT AVAILABLE. AN ANALYSIS OF THE PRODUCT COULD NOT BE PERFORMED SINCE A PHYSICAL SAMPLE WAS NOT RECEIVED FOR EVALUATION. AN EVALUATION OF THE MANUFACTURING RECORD COULD NOT BE PERFORMED AS THE REQUIRED PRODUCT IDENTIFICATION NUMBER WAS NOT PROVIDED TO COMPLETE THE EVALUATION. ATTEMPTS ARE BEING MADE TO OBTAIN THE FOLLOWING INFORMATION. TO DATE NO RESPONSE HAS BEEN PROVIDED. IF FURTHER DETAILS ARE RECEIVED AT A LATER DATE A SUPPLEMENTAL MEDWATCH WILL BE SENT. DOES THE AUTHOR/SURGEON BELIEVE THAT THE ETHICON DEVICES MENTIONED IN THIS ARTICLE CAUSED/CONTRIBUTED TO THE REPORTED EVENTS IN THE ARTICLE? THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY ETHICON, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, ETHICON, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 0

THIS COMPLAINT IS FROM A LITERATURE SOURCE. THE FOLLOWING LITERATURE CITE HAS BEEN REVIEWED: KANANI F, KOZIN M, BEN AVRAHAM Y, AVITAN E, GUREVICH M, NESHER E, GRAVETZ A. LAPAROSCOPIC LIVING DONOR NEPHRECTOMY: LEARNING CURVE ANALYSIS THROUGH 1446 CASES AND OUTCOMES FROM 200 CONSECUTIVE MASTERY-PHASE PROCEDURES-HOW I DO IT. J CLIN MED. 2026 FEB 9;15(4):1363. DOI: 10.3390/JCM15041363. PMID: 41753051; PMCID: PMC12941911. THE AIM OF THIS STUDY IS TO HIGH-VOLUME SINGLE-CENTER EXPERIENCE WITH STANDARDIZED TRANSPERITONEAL LAPAROSCOPIC DONOR NEPHRECTOMY AND CUSUM-BASED LEARNING CURVE ANALYSIS. BETWEEN JANUARY 2015 AND DECEMBER 2024, A TOTAL OF 200 CONSECUTIVE LAPAROSCOPIC LIVING DONOR NEPHRECTOMIES WERE USING ETHICON ENDOPATH, ETHICON HARMONICACE® + SHEARSORHARMONIC SYNERGY® HOOK, ETHICON LIGACLIP®, ETHICON ECHELONFLEX¿, SURGICEL® ETHICON, 0-VICRYL, 4-0 MONOCRYL AND DERMABOND® (ETHICON). REPORTED COMPLICATIONS ARE N=8; CLAVIEN¿DINDO (GRADE I) TREATMENT: NOT MENTIONED N=3; CLAVIEN¿DINDO (GRADE II) TREATMENT: NOT MENTIONED N=1; CLAVIEN¿DINDO (GRADE=III) TREATMENT: NOT MENTIONED N=2; SUPERFICIAL SSI TREATMENT: NOT MENTIONED N=1; SEROMA TREATMENT: NOT MENTIONED N=1; INTRA-ABDOMINAL COLLECTION TREATMENT: NOT MENTIONED N=3; URINARY RETENTION TREATMENT: NOT MENTIONED N=40; ORCHALGIA (TESTICULAR PAIN-1 MONTH) TREATMENT: NOT MENTIONED N=31; ORCHALGIA (TESTICULAR PAIN-1 YEAR) TREATMENT: NOT MENTIONED N=2; 30-DAY READMISSION TREATMENT: NOT MENTIONED N=3; 90-DAY READMISSION TREATMENT: NOT MENTIONED IN CONCLUSION, THIS HIGH-VOLUME SINGLE-CENTER EXPERIENCE DEMONSTRATES RECEIVED: 9 JANUARY 2026 REVISED: 2 FEBRUARY 2026 ACCEPTED: 5 FEBRUARY 2026 PUBLISHED: 9 FEBRUARY 2026 COPYRIGHT: © 2026 BY THE AUTHORS. LICENSEE MDPI, BASEL, SWITZERLAND. THIS ARTICLE IS AN OPEN ACCESS ARTICLE DISTRIBUTED UNDER THE TERMS AND CONDITIONS OF THE CREATIVE COMMONS ATTRIBUTION (CC BY) LICENSE. FAVORABLE OUTCOMES IN LAPAROSCOPIC LIVING DONOR NEPHRECTOMY WITH CUSUM-DEFINED PROFICIENCY PHASES EXTENDING BEYOND 1000 CASES. THE OUTCOMES OBSERVED LIKELY REFLECT THE COMBINED EFFECTS OF INSTITUTIONAL VOLUME, TEAM EXPERIENCE, AND STANDARDIZED TECHNIQUE. MULTI-CENTER VALIDATION IS REQUIRED BEFORE GENERALIZING THESE RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
836905 CLIP, IMPLANTABLE FZP ETHICON ENDO-SURGERY, LLC.

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention