FDA Adverse Event Injury Summary report: N

ULTRACISION HARMONIC ACE (EXACT CODE UNKNOWN)

MDR report key: 9529809 · Received December 30, 2019

Report

Report Number
3005075853-2019-24800
Event Type
Injury
Date Received
December 30, 2019
Date of Event
January 1, 2000
Report Date
December 4, 2019
Manufacturer
ETHICON ENDO-SURGERY, LLC.
Product Code
LFL
PMA / PMN Number
K051036
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). DATE OF EVENT: PUBLICATION YEAR OF 2000. MEDICAL DEVICE: BATCH # UNK. 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/BATCH NUMBER HAS NOT BEEN PROVIDED. [(B)(4)].

Description of Event or Problem · 1

IT WAS REPORTED VIA LITERATURE ENTITLED: INITIAL EXPERIENCE WITH THE HARMONIC SCALPEL IN LIVER SURGERY. AUTHOR : P. GERTSCH, A.PELLONI, A GUERRA, A KRPO. CITATION: HEPATO-GASTROENTEROLOGY 2000; 47: 763-766. THE PURPOSE OF THIS PROSPECTIVE STUDY WAS TO DISCUSS THE POTENTIAL OF HARMONIC SCALPEL IN LIVER SURGERY. A TOTAL OF 16 PATIENTS [N=9 MALE, N=7 FEMALE, MEDIAN AGE 64 YEARS (RANGE 31-79 YEARS)] UNDERWENT LIVER SURGERY. THE LIVER PARENCHYMA WAS CUT WITH HARMONIC SCALPEL (ULTRACISION, ETHICON-ENDOSURGERY). THE SECTION OF THE LIVER PARENCHYMA WAS PERFORMED USING EITHER THE SHARP EDGE OF THE BLADE FOR CUTTING GLISSON¿S CAPSULE OR SMALL INTRA-HEPATIC VESSELS, OR ITS BLUNT EDGE OR FLAT SIDE TO PROGRESS INTO THE SECTION OF LIVER PARENCHYMA BY FORWARD PROGRESSION WITH SMALL HORIZONTAL MOVEMENTS. VESSELS WERE SEALED BY APPLYING THE BLUNT EDGE OF THE BLADE BEFORE SECTION. THIS REPORT REPRESENTS A (B)(6)-YEAR OLD MALE THAT HAD BILIARY FISTULA WHICH HEALED SPONTANEOUSLY WITHIN 12 DAYS AFTER PERCUTANEOUS DRAINAGE; AND HAD BLOOD LOSS OF 700 ML WHICH REQUIRED TRANSFUSION OF 3 UNITS PRC. THE HARMONIC SCALPEL ALLOWS EFFICIENT SECTION OF LIVER PARENCHYMA, PRECISE DISSECTION OF INTRAHEPATIC STRUCTURES, GOOD HEMOSTATICS AND SECTION OF SMALL INTRAHEPATIC VESSELS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1324874 ULTRACISION HARMONIC ACE (EXACT CODE UNKNOWN) INSTRUMENT, ULTRASONIC SURGICAL LFL ETHICON ENDO-SURGERY, LLC.

Patients

Seq Age Sex Outcome Treatment
1 78 YR Required Intervention