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Model Number C4121 |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problems
Injury (2348); Bowel Perforation (2668)
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Event Date 09/06/2016 |
Event Type
Injury
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Manufacturer Narrative
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Additional information requested and received.No product is being returned for evaluation but lot # is provided.A device history report is to be reviewed by engineering.A follow-up report will be sent once the results have been analyzed.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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Event Description
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Robotic assisted left sigmoid colectomy- "during a (b)(6) robotic asst.Left sigmoid colectomy, the dr.Noticed two holes in the small bowel that needed to be repaired and a sew over enterotomy was performed.The dr noticed the holes in the small bowel was consistent with the size and shape of the latis pads on the direct drive graspers." additional information received via email/phone from applied medical team members on september 22, 2016 - while doctor was grasping tissue, found two small holes that were a similar size to the latis mesh pads.Or team determined that graspers caused the tears/holes.Enterotomy was performed as intervention.It was confirmed that the surgeon was manipulating the tissue and using the device in both cases.Type of intervention- "enterotomy performed and procedure continued." patient status: injury.
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Manufacturer Narrative
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The event unit was not returned to applied medical for evaluation.In the absence of the subject device, it is difficult to determine the root cause of the event.Although the exact root cause of the event could not be determined, applied medical has opened a corrective and preventative action report to further elevate and track this investigation and implement appropriate corrective actions, where applicable, to mitigate this type of event.
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Search Alerts/Recalls
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