MANOVIEW SOFTWARE FGS-8016

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,literature report with the FDA on 2018-08-22 for MANOVIEW SOFTWARE FGS-8016 manufactured by Given Imaging Los Angeles Llc.

Event Text Entries

[118399576] Title effectiveness of peroral endoscopic myotomy in the treatment of achalasia: a pilot trial in chinese han population with a minimum of one-year follow-up source journal of digestive diseases (352? 358) 2014. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[118399577] The following study investigated the outcomes of chinese han patients who underwent peroral endoscopic myotomy for achalasia. Complications that occurred during the surgery included cutaneous emphysema [10/87] ,mucosal injury [2/87]) and pneumothorax [1/87]. Of the two patients with mucosal injury one was found to have mucosal injury before surgery, and esophageal stent was applied in both patients. As for those with cutaneous emphysema and pneumothorax, their symptoms were mild and no specific interventions were necessary. No mucosal perforation or delayed bleeding was observed in any of the patients during the esophagogastroduodenoscopy (egd), which was performed 5 days after surgery. Three months after poem, five patients reported heartburn and regurgitation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005344223-2018-00007
MDR Report Key7807274
Report SourceFOREIGN,LITERATURE
Date Received2018-08-22
Date of Report2018-08-22
Date of Event2014-01-01
Date Mfgr Received2018-08-03
Date Added to Maude2018-08-22
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 ContactAMY BEEMAN
Manufacturer Street5920 LONGBOW DRIVE
Manufacturer CityBOULDER CO 80301
Manufacturer CountryUS
Manufacturer Postal80301
Manufacturer Phone7632104064
Manufacturer G1GIVEN IMAGING LOS ANGELES LLC
Manufacturer Street5860 UPLANDER WAY
Manufacturer CityCULVER CITY CA 90230
Manufacturer CountryUS
Manufacturer Postal Code90230
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMANOVIEW SOFTWARE
Generic NameSYSTEM, GASTROINTESTINAL MOTILITY (ELECTRICAL)
Product CodeFFX
Date Received2018-08-22
Model NumberFGS-8016
Catalog NumberFGS-8016
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerGIVEN IMAGING LOS ANGELES LLC
Manufacturer Address5860 UPLANDER WAY CULVER CITY CA 90230 US 90230


Patients

Patient NumberTreatmentOutcomeDate
10 2018-08-22

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