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Analysis of Reported Adverse Events Related to Hemospray: An FDA MAUDE Database Study.
Ahmed, Khalid; Abdallah, Mohamed; Abbas, Daniyal; Jaber, Fouad; Abdalla, Abubaker O; Mohamed, Mouhand; McDonald, Nicholas; Hanson, Brian J; Bilal, Mohammad.
Affiliation
  • Ahmed K; Department of Internal Medicine, The Wright Center for Graduate Medical Education, Scranton, PA.
  • Abdallah M; Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota.
  • Abbas D; Department of Internal Medicine, East Carolina University, Greenville, NC.
  • Jaber F; Department of Medicine, University of Missouri-Kansas City, Kansas City, MO.
  • Abdalla AO; Division of Gastroenterology and Hepatology, Emory University, Atlanta, GA.
  • Mohamed M; Brown University, Warren Alpert Medical School, Providence, RI.
  • McDonald N; Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota.
  • Hanson BJ; Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota.
  • Bilal M; Division of Gastroenterology and Hepatology, Minneapolis Veterans Affairs Healthcare System, Minneapolis, MN.
J Clin Gastroenterol ; 58(4): 402-406, 2024 Apr 01.
Article in En | MEDLINE | ID: mdl-37267458
BACKGROUND: Topical hemostatic powder is a mineral powder that forms an adherent barrier and coagulates active bleeding in the gastrointestinal (GI) tract. Hemospray is the first hemostatic powder approved by the Food and Drug Administration (FDA) in the United States. Hemospray has been increasingly used to manage GI bleeding. However, data on the adverse events of hemostatic powders are lacking. Therefore, we aim to report and analyze adverse events associated with Hemospray using the FDA's "Manufacturer and User Facility Device Experience" database. METHODS: We analyzed the postmarketing surveillance data from the FDA's Manufacturer and User Facility Device Experience database for Hemospray, initially known as TC-325, from June 2018 through April 2022. Results of the search were classified into device-related technical issues, patient-related adverse events and health care staff-related adverse events. RESULTS: Five hundred two medical device reporting claims were identified from June 2018 through April 2022. Seven duplicate claims were identified, and some claims included more than one event type. Therefore, there were 558 device-related problems, 28 patient-related adverse events, and 2 adverse events in health care staff members. The most common device-related problems were activation failure or failure to fire (n = 385, 70.0%) and obstruction of carbon dioxide flow (n = 121, 21.7). The most common patient-related adverse events included tissue injury or bleeding (n = 21) and perforation (n = 5). CONCLUSION: Although Hemospray is a valuable tool in the armamentarium for endoscopists in managing GI bleeding, endoscopists must be mindful of deice-related problems and potential patient-related adverse events.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Hemostatics / Minerals Limits: Humans Country/Region as subject: America do norte Language: En Journal: J Clin Gastroenterol Year: 2024 Document type: Article Country of publication: Estados Unidos

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Hemostatics / Minerals Limits: Humans Country/Region as subject: America do norte Language: En Journal: J Clin Gastroenterol Year: 2024 Document type: Article Country of publication: Estados Unidos