FDA Adverse Event Death Summary report: N

UNKNOWN COOL TIP ELECRTRODE

MDR report key: 9174385 · Received October 10, 2019

Report

Report Number
1717344-2019-01306
Event Type
Death
Date Received
October 10, 2019
Report Date
October 10, 2019
Manufacturer
COVIDIEN MFG DC BOULDER
Product Code
GEI
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

TITLE: FEASIBILITY AND OUTCOMES OF PERCUTANEOUS THERMAL ABLATION OF HEPATOCELLULAR CARCINOMA IN A TRANSPLANTED ALLOGRAFT SOURCE: BRIAN T. WELCH, 2017, ABDOMINAL RADIOLOGY, (2018) 43:1478¿1481, 21 SEPTEMBER 2017. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

PLI10 ACCORDING TO LITERATURE SOURCE OF STUDY PERFORMED ON JANUARY 2000 TO SEPTEMBER 2016, ONE PATIENT (8%) EXPERIENCED A MAJOR COMPLICATION. THIS PATIENT DEVELOPED A HEPATIC ABSCESS FOUR WEEKS AFTER THE ABLATION PROCEDURE FOR RECURRENT HCC. THE PATIENT HAD ROUX-EN-Y BILIARY RECONSTRUCTION AT THE TIME OF LT AND FOR UNCLEAR REASONS DID NOT RECEIVE POST-PROCEDURE ANTIBIOTICS AFTER ABLATION. CT IMAGES DEMONSTRATED RESIDUAL VIABLE TUMOR AND CONCOMITANT ABSCESS IN THE ABLATION BED. THE PATIENT WAS TREATED WITH RIGHT HEPATECTOMY. HE SUBSEQUENTLY DEVELOPED HCC RECURRENCE ALONG THE HEPATECTOMY MARGIN AND DIED 17 MONTHS AFTER ABLATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
970650 UNKNOWN COOL TIP ELECRTRODE ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI COVIDIEN MFG DC BOULDER UNKNOWN COOL TIP ELECRTRODE

Patients

Seq Age Sex Outcome Treatment
1 Death| R