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Model Number C4120 |
Device Problems
Mechanical Problem (1384); Sticking (1597)
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Patient Problem
Bowel Perforation (2668)
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Event Date 06/15/2015 |
Event Type
malfunction
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Event Description
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Laparoscopic bowel resections- "one monday, (b)(6), during a laparoscopic resection of small bowel, primary surgeon, dr.(b)(6) noticed a bowel perforation.Perforation was discovered while she was "running the bowel." the injury was attributed to the use of the applied medical's instruments (2) direct drive reposable graspers.Dr.(b)(6) noted that the tips of the instruments may have adhered to the bowel tissue even after the jaws were open, thus tearing the tissue when surgeon pulled away the instrument.Dr.(b)(6) noted that often tips of these graspers tend to be "sticky" and don't easily let go of the tissue, even though the jaws are open.As a result of this injury, perforated portion of the bowel needed to resected and re-anastomosed.To accomplish this more time was required, lengthening the time patient was under general anesthesia and surgeon needed to use more stapling devices to perform this repair." type of intervention- needed to do a bowel resection patient status- good.Related to (b)(4).
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Manufacturer Narrative
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The incident device anticipated to return.A follow-up report will be provided upon completion of investigation.In accordance to 21 cfr 803.56, if we obtain additional information, which was not known or was not available when the initial report was submitted, then the supplemental report will be submitted to the fda.
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Manufacturer Narrative
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Investigation summary: we have tried to obtain the incident device for evaluation with no success.The incident product was not returned for evaluation.A review of the manufacturing records for the lot number provided revealed that the product passed all quality and manufacturing inspections.Product from lot 1237806 is no longer in stock; however, ten (10) units from another lot were used to test tissue adherence using porcine tissue.The results showed no tissue adherence following 1-3 hours of grasping.In the absence of the subject device, engineering was unable to determine the root cause of the event.Applied medical will continue to monitor its vigilance system for trends and take appropriate actions as necessary to ensure the performance and safety of its products.In accordance with 21 cfr 803.56, if we obtain additional information, which was not known or was not available when this report was submitted, then a supplemental report will be submitted to the fda.
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Search Alerts/Recalls
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