FDA Adverse Event Injury Summary report: N

HARMONIC SCALPEL CURVED SHEAR

MDR report key: 9528380 · Received December 28, 2019

Report

Report Number
3005075853-2019-24771
Event Type
Injury
Date Received
December 28, 2019
Date of Event
January 1, 2001
Report Date
December 3, 2019
Manufacturer
ETHICON ENDO-SURGERY, LLC.
Product Code
GEI
PMA / PMN Number
K002981
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). DATE OF EVENT: PUBLICATION YEAR OF 2001. BATCH # UNK. THIS REPORT IS RELATED TO A JOURNAL ARTICLE; THEREFORE, NO PRODUCT WILL BE RETURNED FOR ANALYSIS AND THE MANUFACTURING RECORDS CANNOT BE REVIEWED AS THE LOT/BATCH NUMBER HAS NOT BEEN PROVIDED.

Description of Event or Problem · 1

TITLE: ENDOSCOPIC RADIAL ARTERY HARVEST: A NEW APPROACH AUTHOR(S): MARK H. GENOVESI, MD, LISA TORILLO, PA, JAMES FRONGER, MD, NILESH PATEL, MD, J.C MCCABE, MD, V.A SUBRAMANIAN, MD. CITATION: THE HEART SURGERY FORUM #2001-1485 4 (3): 223-225, 2001. THIS ARTICLE AIMED TO REVIEW THE MINIMALLY INVASIVE TECHNIQUE FOR OBTAINING THE RADIAL ARTERY (RA) FROM THE FOREARM. OVER A 12-MONTH PERIOD, 120 NONSELECTED PATIENTS UNDERWENT ENDOSCOPIC RADIAL ARTERY HARVESTING. IN THE PROCEDURE, A 5-MM 30-DEGREE ORBITAL ENDOSCOPIC DISSECTOR (ETHICON) WAS PASSED ABOVE THE RA IN A PLANE ABOVE THE FASCIA. THE CLEAR GLIDE (ETHICON) ENDOSCOPIC DISSECTOR WAS PLACED AND THE FASCIA WAS TRANSECTED WITH THE USE OF THE LCS C-5 HARMONIC SHEARS. ALL DISSECTION WAS CARRIED OUT WITH THE USE OF LCS C-5 HARMONIC SHEARS, DIVIDING EACH VESSEL BRANCH. INTRAOPERATIVELY, BRACHIAL ARTERY WAS INADVERTENTLY CUT IN ONE CASE NECESSITATING OPEN REPAIR. NO MAJOR ADVERSE CLINICAL EVENTS WERE OBSERVED, ALTHOUGH TRANSIENT DYSESTHESIA IN THE DORSUM OF THE HAND AND RADIAL ASPECT OF THE FOREARM DEVELOPED IN SEVERAL PATIENTS (N=?). THE DYSESTHESIA WAS REPORTED TO BE ATTRIBUTED TO CONTUSION OF THE SUPERFICIAL BRANCH OF THE RADIAL NERVE AND THE LATERAL CUTANEOUS NERVE FROM THE LARGE INSTRUMENTS USED FOR THE HARVESTINGS. ENDOSCOPIC RA HARVESTING IS A SAFE TECHNIQUE AND HAS GOOD SHORT-TERM PATENCY RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1323205 HARMONIC SCALPEL CURVED SHEAR ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI ETHICON ENDO-SURGERY, LLC.

Patients

Seq Age Sex Outcome Treatment
1