EEA
Received Mar 12, 2019 · Event occurred Feb 5, 2019
Report 2647580-2019-01322 · MDR key 8414031
Device
Generic name
Plate, Base, Shellac
Manufacturer
Us Surgical Puerto RicoModel number
TRIEEA28MTCatalog number
TRIEEA28MT
Product problems
- Loss of or Failure to Bond
- Fluid/Blood Leak
- Loss of or Failure to Bond
- Fluid/Blood Leak
Patient
52 YR
- No Code Available
- No Code Available
Narrative
Additional Manufacturer Narrative
(B)(4). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
Description of Event or Problem
ACCORDING TO THE REPORTER, DURING A SIGMOID COLON RESECTION PROCEDURE, THE DEVICE STAPLER USED AND FIRED. HOWEVER POST-OPERATIVELY, THE PATIENT CAME INTO THE EMERGENCY ROOM. THEY FOUND OUT THAT THE STAPLE LINE WAS DISRUPTED ON THE ANTERIOR SIDE AND ABOUT 1/3 OF THE ANASTOMOSIS WAS OPENED ON THE STAPLE LINE. THEY ALSO FOUND OUT THAT A LARGE LEAK WAS PRESENT, BUT THE TISSUE DID NOT APPEAR ISCHEMIC. TO RESOLVE THE ISSUE THE SURGEON HAD TO GIVE THE PATIENT A COLOSTOMY AND WILL NEED TO DO A FOLLOW-UP OPERATION. DUE TO THE PROBLEM THE PATIENT EXTENDS HOSPITAL STAY FOR ABOUT 3-4 DAYS.