FDA Adverse Event Injury Summary report: N

NANOKNIFE SYSTEM

MDR report key: 2683309 · Received July 31, 2012

Report

Report Number
1319211-2012-00156
Event Type
Injury
Date Received
July 31, 2012
Date of Event
April 22, 2011
Report Date
April 26, 2011
Manufacturer
ANGIODYNAMICS, INC.
Product Code
OAB
PMA / PMN Number
K080202
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE NANOKNIFE SYSTEM INCLUDES PROBES THAT ARE SINGLE USE AND DISPOSABLE. NO COMPONENT OF THE SYSTEM WAS RETURNED TO ANGIODYNAMICS, THEREFORE A DEVICE EVALUATION WAS NOT CONDUCTED IN REGARD TO THIS EVENT. DURING A REVIEW OF QUALITY INSPECTION AND MANUFACTURING DOCUMENTS IT WAS DETERMINED THAT THE DEVICE MET ALL SPECIFICATIONS AND QUALITY REQUIREMENTS. A REVIEW OF THE HARDWARE SERVICE DATABASE FOUND NO SERVICE ORDERS FOR THE GENERATOR AROUND THE TIME OF ISSUE. THE CAUSE OF THE HYPERTENSION COULD NOT BE DETERMINED. THE COMPLAINT FILE STATES THAT THE ANESTHESIA CRNA EXPECTED THIS OCCURRENCE, BUT DID NOT DESCRIBE THE REASON. THIS EVENT WILL BE TRENDED AND MONITORED BY ANGIODYNAMICS COMPLAINT HANDLING DEPARTMENT. (B)(4).

Description of Event or Problem · 1

A (B)(6) PATIENT UNDERWENT NANOKNIFE IRE TREATMENT FOR LIVER CANCER ON (B)(6) 2011. DURING THE TREATMENT AN EVENT WAS REPORTED FOR HYPERTENSION. PATIENT'S BASELINE BLOOD PRESSURE WAS 131/72. DURING THE FIRST TREATMENT, AT ITS PEAK, BP WAS 202/100. THAT TREATMENT WAS ABORTED WITH 66% OF ABLATION COMPLETED TO CONTROL THE PATIENT'S BLOOD PRESSURE. THE PATIENT RECEIVED LABETALOL, FENTANYL, AND MORPHINE. THE BLOOD PRESSURE WAS BROUGHT BACK TO NORMAL RANGE AND THE TREATMENT WAS COMPLETED. THE PATIENT VITALS WERE NORMAL IMMEDIATELY AFTER THE PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NANOKNIFE SYSTEM LECD THERMAL ABLATION SYSTEM OAB ANGIODYNAMICS, INC. HVP-01

Patients

Seq Age Sex Outcome Treatment
1 63 YR Required Intervention