FDA Adverse Event Injury Summary report: N

NANOKNIFE SYSTEM

MDR report key: 3021606 · Received March 15, 2013

Report

Report Number
1319211-2013-00030
Event Type
Injury
Date Received
March 15, 2013
Date of Event
June 16, 2010
Report Date
June 16, 2010
Manufacturer
ANGIODYNAMICS
Product Code
OAB
PMA / PMN Number
K080376
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THERE WAS NO INDICATION OF A DEVICE MALFUNCTION OR A PRODUCT PROBLEM. THE PROCEDURE WAS SUCCESSFULLY COMPLETED WITHOUT COMPLICATIONS. THIS REPORT IS NOT BEING SUBMITTED FOR A PRODUCT PROBLEM BUT RATHER TO REPORT THE PATIENT'S COLON APPEARED TO HAVE CONSTRICTED DURING TREATMENT. A REVIEW OF THE LOT HISTORY RECORDS WAS PERFORMED FOR THE PACKAGING AND COMPONENT LOTS OBTAINED THROUGH A SHIP HISTORY REPORT FOR ANY DEVIATIONS. THE REVIEW CONFIRMS THAT THE LOTS MET ALL MATERIAL, ASSEMBLY AND PERFORMANCE SPECIFICATIONS. THE NANOKNIFE SYSTEM INCLUDES SINGLE USE ELECTRODE PROBES AND GENERATOR. NO COMPONENT OF THE SYSTEM WAS RETURNED TO ANGIODYNAMICS, THEREFORE, A DEVICE EVALUATION WAS NOT CONDUCTED IN REGARDS TO THIS EVENT. THE USER MANUAL, WHICH IS SUPPLIED TO THE USER WITH THIS UNIT, LISTS DAMAGE TO CRITICAL ANATOMICAL STRUCTURE (NERVE, VESSEL, AND/OR DUCT IS A POTENTIAL ADVERSE EFFECT. A REVIEW OF THE ANGIODYNAMICS COMPLAINT SYSTEM NOTED NO TRENDS FOR THIS COMPLAINT TYPE AND PRODUCT FAMILY. THIS TYPE OF COMPLAINT WILL CONTINUE TO BE MONITORED FOR TRENDS. (B)(4).

Description of Event or Problem · 1

A (B)(6) MALE PRESENTED FOR A NANOKNIFE ABLATION OF A LESION LOCATED IN THE LEFT RETROPERITONEUM (ANTERIOR TO LATISSIMUS DORSI MUSCLE, LATERAL TO SPINE). THE PROPOSED WAS COMPLETED WITHOUT ISSUE OR COMPLICATIONS. WHEN THE TREATING PHYSICIAN REVIEWED THE POST PROCEDURE CT IMAGES, HE NOTED THAT THE PATIENT'S COLON APPEARED TO HAVE CONSTRICTED DURING TREATMENT. FOLLOW UP INFORMATION PROVIDED NOTED THAT THE PATIENT IS RECOVERING FINE AND DID NOT SUFFER ANY LASTING OR PERMANENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
110724 NANOKNIFE SYSTEM LECD THERMAL ABLATION SYSTEM OAB ANGIODYNAMICS 20300101-GENERATOR

Patients

Seq Age Sex Outcome Treatment
1 62 YR Other