FDA Adverse Event Injury Summary report: N

ENDOPATH*STEALTH CIR STAPLER (EXACT CODE UNKNOWN)

MDR report key: 7733195 · Received July 30, 2018

Report

Report Number
3005075853-2018-11697
Event Type
Injury
Date Received
July 30, 2018
Report Date
July 3, 2018
Manufacturer
ETHICON ENDO-SURGERY, LLC.
Product Code
GDW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). BATCH # UNK. THE LOT/BATCH WAS NOT PROVIDED; THEREFORE, THE MANUFACTURING RECORDS COULD NOT BE REVIEWED.

Description of Event or Problem · 1

IT WAS REPORTED VIA LITERATURE ARTICLE ENTITLED: LAPAROSCOPIC ASSISTED DISTAL GASTRECTOMY WITH BILLROTH I RECONSTRUCTION BY USING CIRCULAR STAPLER. AUTHOR : NOBUHIRO TAKIGUCHI, MD, PHD, YOSHIHIRO NABEYA, MD, PHD, ATSUSHI IKEDA, MD, PHD, HIROAKI SODA, MD, PHD, TORU TONOOKA, MD, PHD, ISAMU HOSHINO, TOSHIYA SAKAMOTO, MD, YOUSUKE IWADATE. CITATION: SURG ENDOSC (2018) 32:S323; P693. THIS OBJECTIVE OF THE STUDY WAS TO EVALUATE THE OUTCOMES AND SAFETY OF THE LAPAROSCOPIC ASSISTED DISTAL GASTRECTOMY. TWO HUNDRED PATIENTS WITH EARLY GASTRIC CANCER UNDERWENT LAPAROSCOPIC DISTAL GASTRECTOMY. THE BILLROTH I RECONSTRUCTION WAS PERFORMED WITH CIRCULAR STAPLER (CDH). GASTRODUODENAL ANASTOMOSIS WAS PERFORMED BY CDH STAPLER. POSTOPERATIVELY, COMPLICATIONS INCLUDED ANASTOMOTIC FAILURE (N=2%), PANCREATIC FISTULA (N=1.5%) AND POSTOPERATIVE BLEEDING (N=1%). THE REOPERATION RATE WAS 2%. ABDOMINAL WALL INCISIONAL HERNIA WAS OBSERVED IN 1%. ALTHOUGH THERE IS THE DISADVANTAGE THAT SMALL LAPAROTOMY CAN BE MADE IN THE UPPER ABDOMEN, LAPAROSCOPIC ASSISTED DISTAL GASTRECTOMY WITH BILLROTH I RECONSTRUCTION IN OUR PROCEDURE IS ENOUGH GOOD FROM THE VIEWPOINT OF THE PRECISION OF PROXIMAL MARGIN, AND THE INCIDENCE OF SERIOUS COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
574995 ENDOPATH*STEALTH CIR STAPLER (EXACT CODE UNKNOWN) STAPLE, IMPLANTABLE GDW ETHICON ENDO-SURGERY, LLC.

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention