FDA Adverse Event Injury Summary report: N

SURGICEL ABSORBABLE HEMOSTAT UNKNOWN

MDR report key: 8849193 · Received July 31, 2019

Report

Report Number
2210968-2019-84970
Event Type
Injury
Date Received
July 31, 2019
Report Date
July 2, 2019
Manufacturer
ETHICON INC.
Product Code
LMG
PMA / PMN Number
N12159
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THIS REPORT IS RELATED TO A JOURNAL ARTICLE, THEREFORE NO PRODUCT WILL BE RETURNED FOR ANALYSIS AND THE MANUFACTURING RECORD EVALUATION CANNOT BE REVIEWED AS THE LOT NUMBER HAS NOT BEEN PROVIDED. CITATION: THE ASSOCIATION OF COLOPROCTOLOGY OF GREAT BRITAIN AND IRELAND. COLORECTAL DISEASE (2010); 12: 921¿926. DOI:10.1111/J.1463-1318.2009.01893.X. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED VIA A JOURNAL ARTICLE: TITLE: STAPLED HAEMORRHOIDOPEXY: 6 YEARS¿ EXPERIENCE OF A REFERRAL CENTRE. AUTHORS: S. SULTAN, N. RABAHI, I. ETIENNEY AND P. ATIENZA. CITATION: THE ASSOCIATION OF COLOPROCTOLOGY OF GREAT BRITAIN AND IRELAND. COLORECTAL DISEASE (2010); 12: 921¿926. DOI:10.1111/J.1463-1318.2009.01893.X. THE AIM OF THIS STUDY IS TO PROSPECTIVELY EVALUATE THE LONG-TERM RESULTS AND ASSESS PATIENT SATISFACTION AFTER STAPLED HAEMORRHOIDOPEXY (HS). FROM JANUARY 2001 THROUGH FEBRUARY 2006, A TOTAL OF 150 PATIENTS (121 MALE AND 29 FEMALE; AGE RANGE: 21¿ 87 YEARS) WITH SYMPTOMATIC GRADE II OR III HAEMORRHOIDS UNDERWENT STAPLED HS. A MUCOSAL DOUGHNUT WAS RESECTED WITH EITHER PPH 01 OR PPH 03 CIRCULAR STAPLER (ETHICON). A RESORBABLE HAEMOSTATIC GAUZE SURGICEL (ETHICON) WAS PLACED INTO THE ANAL CANAL ON COMPLETION OF THE OPERATION. REPORTED COMPLICATIONS INCLUDED EARLY POSTOPERATIVE BLEEDING WITHIN THE FIRST 12 H (N-3) WHICH REQUIRED REINTERVENTION, LATE POSTOPERATIVE BLEEDING BETWEEN D8 AND D10 (N-4) IN WHICH 2 NEEDED TRANSFUSION, 2 NEEDED SURGICAL HEMOSTASIS, AND 2 WERE MANAGED CONSERVATIVELY WITH LOCAL AND TEMPORARY HEMOSTATIC PACKING, ANAL FISSURE (N-6) IN WHICH 1 PATIENT REQUIRED FISSURECTOMY, HYPERTROPHIC PAPILLA (N-1) WHICH REQUIRED HYPERTROPHIC PAPILLA RESECTION, FECAL URGENCY/ ANAL INCONTINENCE (N-?) WHICH DISAPPEARED WITHIN 3 MONTHS IN ALL BUT ONE, UNEXPLAINED PAIN FOR OVER A MONTH (N-1), EXTERNAL HAEMORRHOID THROMBOSIS (N-2) WHICH WAS TREATED CONSERVATIVELY, RECTAL STENOSIS (N-1) WHICH WAS SUCCESSFULLY TREATED BY DILATATION WITH A RIGID PROCTOSCOPE, ANAL FISTULA (N-1) WHICH REQUIRED SURGERY, AND PERSISTENT OR RECURRENT SYMPTOMATIC PROLAPSE (N-8) IN WHICH THE TREATMENT CONSISTED OF RUBBER BAND LIGATION WITH GOOD RESULTS. IN CONCLUSION, STAPLED HS PROCEDURE IS EFFECTIVE AND HAS LOW MORBIDITY, HIGH PATIENT SATISFACTION AND PROVIDED GOOD LONG-TERM CONTROL OF HAEMORRHOIDAL SYMPTOMS IN THE TREATMENT OF SECOND AND THIRD-DEGREE HAEMORRHOIDS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
638568 SURGICEL ABSORBABLE HEMOSTAT UNKNOWN AGENT, ABSORBABLE HEMOSTATIC, NON-COLLAGEN BASED LMG ETHICON INC.

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention