FDA Adverse Event Injury Summary report: N

HARMONIC SCALPEL CURVED SHEAR (EXACT CODE UNKNOWN)

MDR report key: 9293621 · Received November 7, 2019

Report

Report Number
3005075853-2019-23338
Event Type
Injury
Date Received
November 7, 2019
Report Date
October 10, 2019
Manufacturer
ETHICON ENDO-SURGERY, LLC.
Product Code
GEI
PMA / PMN Number
GEI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

TITLE: ENDOSCOPIC RADIAL ARTERY HARVEST¿OUTCOMES AND LESSONS LEARNED AFTER 1000 HARVESTS. AUTHOR/S: S SWINAMER, S FOX, D NAGPAL, M CHU, M QUANTZ, R GUO, R NOVICK, B KIAII, J SY, J GELINAS. CITATION: CANADIAN JOURNAL OF CARDIOLOGY (2017); VOLUME 33. THE AUTHORS PRESENTED THEIR EXPERIENCE AND OUTCOMES WITH THE TECHNIQUE AFTER MORE THAN 1000 HARVESTS. FROM JULY 2004 TO PRESENT, A TOTAL OF 1003 PATIENTS UNDERWENT ENDOSCOPIC RADIAL ARTERY HARVEST (ERAH). A REUSABLE ESVH SYSTEM WITH THE ADDITION OF A HARMONIC ULTRASONIC SCALPEL/SHEARS (ETHICON) TO FACILITATE THE REMOVAL OF THE RADIAL ARTERY (RA) FOR USE IN THE CABG PATIENTS. REPORTED COMPLICATIONS INCLUDED NEUROLOGICAL IMPAIRMENTS (N-?), TRANSIENT NUMBNESS OVER THE THENAR EMINENCE, INDEX FINGER AND LATERAL FOREARM (N-?), AND NEURALGIAS (N-5), IN CONCLUSION, ERAH CAN BE EFFECTIVELY AND SAFELY ADOPTED AS A HARVEST TECHNIQUE FOR THE RA FOR CABG. THE RESULTS DEMONSTRATE ERAH PROVIDES ADEQUATE LENGTH CONDUITS IN A TIMELY MANNER THROUGH MUCH SMALLER INCISIONS, RESULTING IN LOW RATES OF INFECTION, NEUROLOGICAL IMPAIRMENT, EXCELLENT LONG-TERM PATENCY AND NO EVIDENCE OF HISTOLOGICAL DAMAGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1088451 HARMONIC SCALPEL CURVED SHEAR (EXACT CODE UNKNOWN) INSTRUMENT, ULTRASONIC SURGICAL GEI ETHICON ENDO-SURGERY, LLC.

Patients

Seq Age Sex Outcome Treatment
1 Other