FDA Adverse Event Malfunction Summary report: N

AQUAMANTYS 9.5XL BIPOLAR SEALER

MDR report key: 3233526 · Received July 18, 2013

Report

Report Number
1226420-2013-00132
Event Type
Malfunction
Date Received
July 18, 2013
Date of Event
January 4, 2012
Report Date
June 19, 2013
Manufacturer
MEDTRONIC ADVANCED ENERGY, LLC
Product Code
DWG
PMA / PMN Number
K101057
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVENT: (B)(4), EVALUATION METHOD: DEVICE NOT RETURNED TO MANUFACTURER THEREFORE ANALYSIS COULD NOT BE PERFORMED. EVALUATION RESULT: DEVICE NOT RETURNED TO MANUFACTURER THEREFORE ANALYSIS COULD NOT BE PERFORMED. EVALUATION CONCLUSION: DEVICE NOT RETURNED TO MANUFACTURER THEREFORE ANALYSIS COULD NOT BE PERFORMED. (B)(4).

Description of Event or Problem · 1

LITERATURE: (ANIMAL) STUDY WAS PRESENTED IN PART AT THE ANNUAL SCIENTIFIC MEETING OF THE SOCIETY OF ACADEMIC AND RESEARCH SURGERY, 4¿5 JANUARY 2012, NOTTINGHAM AND HAS BEEN PUBLISHED IN ABSTRACT FORM [BR J SURG 2012; 99 (SUPPL. 4): 31]. THE AIM OF THE STUDY WAS TO DEFINE THE EXTENT OF PARENCHYMAL ABLATION AND TISSUE NECROSIS ACHIEVED USING ABLATIVE TECHNIQUES IN A NON-PERFUSED BENCHTOP CADAVERIC MODEL. TISSUE ABLATION AND NECROSIS WAS MEASURED FOR EACH OF THE ABLATIVE METHODS UTILIZED. THE AQUAMANTYS DEVICE PRODUCED A WIDE BAND OF COAGULATION ADJACENT TO THE LINE OF TRANSECTION, BUT THIS WAS NOT REFLECTED IN EITHER THE ABLATIVE OR NECROTIC BAND WIDTH. ALTHOUGH THE DEVICE LED TO DISRUPTION OF THE EXTRACELLULAR MATRIX WITHIN THIS COAGULATIVE BAND TO A DISTANCE OF 2 MM FROM THE RESECTION MARGIN, THERE WAS NO CLEAR EVIDENCE OF TISSUE NECROSIS BEYOND 1 MM. THE IMPACT OF THIS COAGULATION EFFECT ON TUMOUR CELL VIABILITY IS NOT KNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
336410 AQUAMANTYS 9.5XL BIPOLAR SEALER ELECTROSURGICAL DEVICE DWG MEDTRONIC ADVANCED ENERGY, LLC 23-313-1 UKNNOWN

Patients

Seq Age Sex Outcome Treatment
1