FDA Adverse Event Injury Summary report: N

VICRYL POLYGLACTIN 910 SUTURE UNKNOWN PRODUCT

MDR report key: 9356938 · Received November 21, 2019

Report

Report Number
2210968-2019-90188
Event Type
Injury
Date Received
November 21, 2019
Report Date
November 4, 2019
Manufacturer
ETHICON INC.
Product Code
GAM
PMA / PMN Number
K022269
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
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 BATCH HISTORY RECORDS CANNOT BE REVIEWED AS THE LOT NUMBER HAS NOT BEEN PROVIDED. IF FURTHER DETAILS ARE RECEIVED AT A LATER DATE A SUPPLEMENTAL MEDWATCH WILL BE SENT. CITATION: TOHOKU J. EXP. MED., 1999, 189, 171 ¿ 178 - (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED VIA JOURNAL ARTICLE "TITLE: CONIZATION OF THE CERVIX USING HARMONIC SCALPEL ". AUTHOR(S): RYO KONNO, JUN-ICHI AKAHIRA, TSUKASA IGARASHI, HIROMITSU YAMAKAWA, SHINJI SATO AND AKIRA YAJIMA. CITATION: TOHOKU J. EXP. MED., 1999, 189, 171 ¿ 178. THE PURPOSE OF THIS STUDY WAS TO DESCRIBE THE DEVELOPMENT OF A SURGICAL PROCEDURE OF CONIZATION USING HARMONIC SCALPEL (ETHICON) WITHOUT ELECTRIC OR LASER ENERGY. BETWEEN NOV 1997 AND OCT 1998, A TOTAL OF 11 WOMEN [MEAN AGE 34.5 YEARS OLD (RANGE 19-50 YEARS)] WITH CERVICAL INTRAEPITHELIAL NEOPLASIA (CIN) UNDERWENT CONIZATION. THE CONIZATION WAS PERFORMED USING HARMONIC SCALPEL. TO REDUCE BLEEDING, THE BILATERAL DESCENDING BRANCHES OF THE UTERINE ARTERIES WERE LIGATED WITH VICRYL 1-0 (ETHICON) AT 3 AND 9 O'CLOCK POSITONS. THE ANTERIOR AND POSTERIOR LIPS WERE TIED WITH VICRYL 1-0 AT THE EXTERNAL AREAS OF THE LESION AS RECOGNIZED BY SCHILLER¿S TEST. THE TIED VICRYL WAS USED FOR TRACTION TO SET A GOOD POSITION FOR THE EXCISION OF THE CONE. THE CONICAL PORTION OF THE CERVICAL TISSUE WAS RESECTED BY MEANS OF THE HS2 HOOK BLADE OF THE HS ON LEVEL 3 POWER SETTING. COMPLICATION INCLUDED A (B)(6) YEAR-OLD WOMAN (G4, P2) WHO HAD POSTOPERATIVE HEMORRHAGE WHICH WAS TREATED WITH BIPOLAR ELECTROCOAGULATION IN THE OUTPATIENT CLINIC. THE SURGICAL METHOD USING HARMONIC SCALPEL IS CHARACTERIZED BY NEGLIGIBLE BLEEDING, A GOOD VISUAL FIELD NOT OBSCURED BY SMOKE AND RESECTION OF AN IDEAL SHAPE THAT FITS THE SIZE OF THE LESION. NO COMPLICATIONS DURING CONIZATION WERE OBSERVED. IT IS CONCLUDED THAT THIS METHOD OVERCOMES MOST PROBLEMS ASSOCIATED WITH CONIZATION USING CONVENTIONAL METHODS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1150199 VICRYL POLYGLACTIN 910 SUTURE UNKNOWN PRODUCT SUTURE, ABSORBABLE, SYNTHETIC GAM ETHICON INC.

Patients

Seq Age Sex Outcome Treatment
1 30 YR Required Intervention