NANOKNIFE SYSTEM H787204001070

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2018-05-16 for NANOKNIFE SYSTEM H787204001070 manufactured by Angiodynamics, Inc.

Event Text Entries

[108373051] It was reported that the disposable device is not available to be returned to the manufacturer for evaluation. An investigation into the root cause of this incident is currently in progress. The results of the device evaluation will be sent via a follow up medwatch. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[108373052] As reported to angiodynamics on november 02, 2017: this medwatch is not to report a device malfunction, but to report an adverse patient effect. "ct guided ire liver lesion with close approximation to the right portal vein. The post ablation ct reveals a complete coverage of the lesion and open portal vein. Three (3) days after the ablation, the patient presented at the emergency room with pain in the ruq. Ct scan of the liver revealed large necrotic area in segment 5/8 of the liver. Occlusion of the portal vein branch to segment 5/8 (next to the ablation zone) was noted. During the procedure, angiodynamics' clinical specialist (that was observing the case), reported he had asked the treating physician about the distance of the needle to the portal vein. The physician reported the distance was even inside the portal vein. The clinical specialist mentioned to the physician that for safety reasons, it would be advisable to try to reposition it at least 5 mm from the portal vein. The physician repositioned the needle as much as possible, due to anatomy and tumor positioning. The clinical specialist can state with exactitude at which distance the needle was repositioned, but most likely it was less than 5 mm. It was reported the technical part of the procedure went very well. The nanoknife and electrodes worked properly. It was reported the disposable device is not available for return to the manufacturer for a device evaluation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1319211-2018-00049
MDR Report Key7518020
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2018-05-16
Date of Report2018-06-27
Date of Event2018-04-13
Date Mfgr Received2018-04-20
Date Added to Maude2018-05-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactLAW RYAN
Manufacturer Street10 GLENS FALLS TECHNICAL PARK
Manufacturer CityGLENS FALLS NY 12801
Manufacturer CountryUS
Manufacturer Postal12801
Manufacturer Phone5187424488
Manufacturer G1ANGIODYNAMICS, INC
Manufacturer Street603 QUEENSBURY AVENUE
Manufacturer CityQUEENSBURY NY 12804
Manufacturer CountryUS
Manufacturer Postal Code12804
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNANOKNIFE SYSTEM
Generic NameLOW ENERGY DIRECT CURRENT ABLATION SYSTEM,
Product CodeOAB
Date Received2018-05-16
Catalog NumberH787204001070
Lot NumberUNKNOWN
OperatorPHYSICIAN
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerANGIODYNAMICS, INC
Manufacturer Address603 QUEENSBURY AVENUE QUEENSBURY NY 12804 US 12804


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2018-05-16

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