According to the reporter, while transecting the stomach with the device and near the end of the staple firing during a robotic laparoscopic esophagectomy procedure, the shaft of the device began spinning uncontrollably.The tissue was pulled but did not result in significant injury.The surgeon was able to retract the knife blade, and open the jaws of the reload with the device, which stopped the spinning.Then they took the stapler out and put it on the back table.The tech was not able to unload the reload.After they failed to unload the reload, they looked at the lights and said they saw 5 solid white lights on the device.A new device was opened and processed to complete the case.There was no patient injury.
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Evaluation summary: post market vigilance (pmv) led an evaluation of one device and a photographic evaluation of one reload.A visual inspection of the returned photos noted the reload was not properly locked onto the adapter.The proximal end of the adapter was broken and the articulation flag was bent.Functional testing could not be performed due to the noted damages.Records from each manufacturing lot are thoroughly reviewed to ensure that products are released meeting all quality release specifications at the time of manufacture.Additionally, the investigation detected a secondary condition of a broken adapter that has no relationship to the reported condition.Replication of the damaged reload adapter may occur due to over flexure of the reload while attached to the instrument.No further actions have been deemed necessary at this time.If information is provided in the future, a supplemental report will be issued.
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