40 FR LIGHTED BOUGIE, TRANSILLUMINATION

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-04-24 for 40 FR LIGHTED BOUGIE, TRANSILLUMINATION manufactured by Unk.

Event Text Entries

[143378421] Per op note from md: the standard 40 fr lighted bougie was used to help size the gastric pouch during surgery. This has been used for years for this purpose and for other foregut surgery such as sleeve, anti reflux, etc. I have never noted the bougie to be "hot". It is always connected to a fiber optic light source which is usually left on while the bougie is in use in the body. In this case, when i removed the bougie near the end of the case in preparation to perform intra op egd, the bougie was very warm to touch - specifically where the clear end of the bougie starts (there is metal visible inside the bougie at this location, estimated 1/2 inch length - this is where it was hot). There was a new fiber optic light source being used which i was unaware - luxtec mix. Egd showed the distal 10-15 cm of esophagus had thin layer of epithelium that was in places peeling away. One very small dark spot less than 5 mm diameter at 8 cm from z line. The underlaying esophageal tissue appeared perfused and viable. The pouch looked unremarkable. I asked one of the gi physicians to come and look, and he agreed it appeared to be an esophageal epithelial injury but he felt it was superficial and recommended carafate liquid, gi cocktail, observation, possible interval egd. I irrigated the esophagus. Did not place ng or g tube. Will continue antibiotics, npo for now, carafate and ppi rx, close observation, esophagram, possible repeat egd etc. I explained exactly what had occurred to the waiting family (mother and son) after surgery and later told the pt, but she is sleepy and will explain again tomorrow. Staff filed "safety zone report", i reported to operating room director and risk control, the devices are to be pulled off line for biomed evaluation. I informed my partners who also use this instrument. On literature review i could find no case reports of this occurring. Staff are concerned with design of device. At no time during use does device give any indication it is getting hot. Staff can continue to increase the light source settings to maximize visualization, without any indication that source is hot. There is no alarm, warning sound, or visual indication of the potential for a burn injury. There is no warning on machine that indicates this is of risk. We have also had one anecdotal report of an employee burn injury in handling of these. We have pulled them from use until we can determine what steps we can implement to prevent further injury to employees or pts.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5086185
MDR Report Key8551261
Date Received2019-04-24
Date of Report2019-04-22
Date of Event2019-04-02
Date Added to Maude2019-04-25
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand Name40 FR LIGHTED BOUGIE, TRANSILLUMINATION
Generic NameRETRACTOR, FIBEROPTIC
Product CodeFDG
Date Received2019-04-24
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2019-04-24

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