FDA Adverse Event Injury Summary report: N

MEDIGUS ULTRASONIC SURGICAL ENDOSTAPLER SYSTEM MUSE

MDR report key: 6677619 · Received June 29, 2017

Report

Report Number
3004444684-2017-00001
Event Type
Injury
Date Received
June 29, 2017
Date of Event
June 5, 2017
Report Date
June 7, 2017
Manufacturer
MEDIGUS LTD
Product Code
ODE
UDI-DI
07290014036062
PMA / PMN Number
K132151
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE FIRST DAY AFTER SURGERY ((B)(6) 2017), THE PATIENT HAD THROAT DISCOMFORT, WITH A SLIGHT DISCOMFORT OF SUBSTERNAL ESOPHAGUS AND MIDDLE & UPPER ABDOMINAL REGION. THERE WAS NO FEVER OR ABDOMINAL PAIN BUT SINCE HER BLOOD LEUCOCYTES WERE HIGH, SHE WAS PLACED ON AN INTRAVENOUS INFUSION OF CEFAZOLIN FOR ANTI-INFECTION TREATMENT. LATER, THE PATIENT DID HAVE A FEVER, THE HIGHEST TEMPERATURE BEING 38.3 DEGREES CELSIUS. THE SYMPTOMS WERE MARKED BY THROAT PAIN WITH A SLIGHT DISCOMFORT IN THE POSTERIOR ESOPHAGUS AND THE MIDDLE AND UPPER ABDOMEN AND FATIGUE. THE PATIENT REFUSED TO HAVE A CHEST AND ABDOMINAL CT DONE TO DETERMINE THE REASON FOR THE SYMPTOMS SO THE HOSPITAL CONTINUED THE ANTIBIOTICS, ANTI-INFLAMMATORY DRUGS TREATMENT, AND PPI DRUGS TO PROTECT THE STOMACH. THE FEVER LASTED FOR MORE THAN THREE DAYS; THEN THE BODY TEMPERATURE RETURNED TO NORMAL AND THE SYMPTOMS GRADUALLY DISAPPEARED. ON THE SIXTH DAY ((B)(6)), THE BLOOD TESTS WERE NORMAL. THE PATIENT REMAINED ON INTRAVENOUS ANTIBIOTICS FOR ANOTHER TWO DAYS AND THEN WAS DISCHARGED ON (B)(6) 2017.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
457078 MEDIGUS ULTRASONIC SURGICAL ENDOSTAPLER SYSTEM MUSE ENDOSCOPE ODE MEDIGUS LTD SRS05 07290014036062

Patients

Seq Age Sex Outcome Treatment
1 50 YR Hospitalization| O