FDA Adverse Event Injury Summary report: N

UNKNOWN BARRX

MDR report key: 9876144 · Received March 24, 2020

Report

Report Number
3004904811-2020-00005
Event Type
Injury
Date Received
March 24, 2020
Date of Event
September 19, 2017
Report Date
March 24, 2020
Manufacturer
COVIDIEN LP BARRX
Product Code
GEI
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TITLE: RIAD H. AL NATOUR,1 A. CATANZARO,2 E. ZOLOTAREVSKY,2 ANTHONY T. DEBENEDET,2 NARESH T. GUNARATNAM2 1SURGERY DEPARTMENT, ST JOSEPH MERCY HEALTH SYSTEM, 5333 MCAULEY DRIVE, SUITE RHB-2115, ANN ARBOR, MI 48197, USA AND 2HURON GASTRO CENTER FOR DIGESTIVE DISEASE, ST JOSEPH MERCY HEALTH SYSTEM, 5300 ELLIOTT DR., ANN ARBOR, MI 48197, USA. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

PLI 10: (B)(6) 2014), 60 PATIENTS WITH BIOPSY-PROVEN BARRETT¿S ESOPHAGUS WITH HIGH-GRADE DYSPLASIA (BEHGD) AND INTRAMUCOSAL ESOPHAGEAL ADENOCARCINOMA (IMC), WERE PROSPECTIVELY ENROLLED IN THE STUDY. PATIENTS UNDERWENT ENDOSCOPIC THERAPY FOR BEHGD (32) OR IMC (28). MEDIAN LENGTH BE WAS 4CM. FORTY-SIX PATIENTS HAD ENDOSCOPIC MUCOSAL RESECTION (EMR). RADIO FREQUENCY ABLATION WAS USED TO ABLATE ANY RESIDUAL DYSPLASTIC-BE FOUND DURING SUBSEQUENT ENDOSCOPY SESSIONS. IMMEDIATE POST-EMR BLEEDING REQUIRING ENDOCLIPS AND/OR LOCAL EPINEPHRINE INJECTION OCCURRED IN TWO PATIENTS. THERE WAS NO PROCEDURE-RELATED MORTALITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
334139 UNKNOWN BARRX GEI COVIDIEN LP BARRX UNKNOWN BARRX

Patients

Seq Age Sex Outcome Treatment
1 67 YR Required Intervention