inforMED
MalfunctionFHM

GIA PREMIUM

Received Mar 28, 2018 · Event occurred Mar 12, 2018

Report 1219930-2018-01749 · MDR key 7379559

Device

Generic name

Apparatus, Suturing, Stomach And Intestinal

Model number

030715

Catalog number

030715

Product problems

  • Failure to Form Staple
  • Failure to Form Staple

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem

ACCORDING TO THE REPORTER, DURING THE HEMICOLECTOMY SURGERY, THERE WAS AN INCOMPLETE OCCLUSION OF THE SECOND LAYER OF STAPLES DURING THE INTESTINAL ANASTOMOSIS. THE STAPLES STUCK OPEN, SHARP, INTO THE INTESTINAL LUMEN, ABOUT 5 CENTIMETERS IN LENGTH. THE DEVICE HAD BEEN PASSED FOR CHECKING WITH A NEW LOAD. THERE WAS NO PATIENT INJURY.