Laparoscopic cholecystectomy: device-related errors revealed through a national database.

Abstract:

:Laparoscopic techniques represent a key milestone in the development of modern surgery, offering a step change in quality of care, patient satisfaction and efficiency in use of health service resources. Laparoscopy is most widely used for gall bladder surgery. As would be expected with the introduction of any new technology, the early phase of development was accompanied by complications in its use. Arguably some of these should have been anticipated, but nevertheless standards and training programs were subsequently put in place to secure a more consistent standard of care across the UK. Now that this early learning curve has largely been negotiated, we wanted to examine the nature of the errors associated with laparoscopic gall bladder surgery, particularly in relation to equipment. We used data from the largest error-reporting system in the world to examine the problem of equipment-related incidents amongst patients who had laparoscopic cholecystectomy. Over the 6-year period 2004-2010, the number of such reports increased 15-fold, whilst the growth in use of the procedure itself increased 1.3-fold. The majority of the increase was in device-related errors. User-related errors constituted a smaller proportion of errors. Whilst most surgeons appear to carry out laparoscopic surgery with a low level of harm to their patients, problems with their equipment remains a risk for many procedures. In some ways, this is an easier problem to address than one associated with competency. A risk associated with faulty, substandard or misused equipment is one that should be minimized in a 21st Century surgical service.

journal_name

Expert Rev Med Devices

authors

Panesar SS,Salvilla SA,Patel B,Donaldson SL

doi

10.1586/erd.11.43

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

555-60

issue

5

eissn

1743-4440

issn

1745-2422

journal_volume

8

pub_type

杂志文章,评审
  • Resurrection of hip resurfacing: what is the evidence?

    abstract::Total hip resurfacing has long been conceptually attractive to both surgeons and patients. However, historically it has been plagued by limited durability and marked acetabular bone loss. The recent development of wear-resistant bearings, such as metal-on-metal, has led to renewed interest in hip resurfacing in the or...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.3.6.755

    authors: Moroni A,Cadossi M,Bellenghi C,Romagnoli M,Bevoni R,Giannini S

    更新日期:2006-11-01 00:00:00

  • Anti-infective therapy with an Er:YAG laser: influence on peri-implant healing.

    abstract::In addition to conventional treatment modalities (mechanical and chemical), the use of lasers has been increasingly proposed for the treatment of periodontal and peri-implant infections (i.e., cleaning and detoxification of implant surfaces). Preliminary results from basic studies have pointed to the high potential of...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2.3.267

    authors: Sculean A,Schwarz F,Becker J

    更新日期:2005-05-01 00:00:00

  • The challenges surrounding preclinical testing in transcatheter device development and the implications on the clinic.

    abstract:INTRODUCTION:Transcatheter devices have contributed significantly to the advances achieved in treating many cardiovascular conditions over the last few decades. Sophisticated and detailed preclinical testing is not only a regulatory requirement to support an investigational device exemption (IDE) application, but more ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2017.1282313

    authors: Holzer R,Goble J,Hijazi Z

    更新日期:2017-02-01 00:00:00

  • Does the novel delivery system for the STENTYS self-apposing coronary stent increase the risk of stent edge dissections? Optical coherence tomography post stent findings.

    abstract:BACKGROUND:With optical coherence tomography (OCT), details of arterial injuries during percutaneous coronary intervention can be assessed accurately. There might be an increased risk of stent edge dissections with the novel delivery system for the STENTYS stent. We evaluated the prevalence of stent edge dissections us...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2018.1421942

    authors: Lu H,Kalkman DN,Grundeken MJ,Tijssen JGP,Wykrzykowska JJ,de Winter RJ,Koch KT

    更新日期:2018-02-01 00:00:00

  • Surface coatings for ventricular assist devices.

    abstract::This article focuses on the surface engineering of ventricular assist devices (VADs) for the treatment of heart failure patients, which involves the modification of surfaces contacting blood in order to improve the blood compatibility (hemocompatibility) of the VADs. Following an introduction to the categorization and...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.6.1.51

    authors: Sin DC,Kei HL,Miao X

    更新日期:2009-01-01 00:00:00

  • Drug-eluting stents: from evidence to policy.

    abstract::Drug-eluting stents are a major breakthrough in cardiology, with the Cypher (Cordis Corporation) and Taxus (Boston Scientific) stents preventing 60-70% of repeat coronary revascularizations, compared with bare metal stents. Both evidence- and risk-based application of drug-eluting stents is expected to create relevant...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.1.1.49

    authors: Marchetti M

    更新日期:2004-09-01 00:00:00

  • The EluNIRTM Ridaforolimus Eluting Coronary Stent System.

    abstract:INTRODUCTION:First-generation drug-eluting stents (DES) were developed and indeed proved their superiority compared to bare-metal stent in minimizing neo-intimal hyperplasia and in-stent restenosis (ISR), overall, reducing target vessel revascularization (TVR). Newer-generation DES are characterized by thinner struts, ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2018.1549986

    authors: Savvoulidis P,Perlman G,Bagur R

    更新日期:2019-01-01 00:00:00

  • Female sterilization.

    abstract::There has been considerable development and implementation of new contraceptive methods over the last 15 years. However, sterilization has remained the most widely used method around the world. Ideally, the procedure should be safe, have a high efficacy, be readily accessible, and be personally and culturally acceptab...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.5.4.525

    authors: Chapman L,Magos A

    更新日期:2008-07-01 00:00:00

  • Consumer sleep tracking devices: a review of mechanisms, validity and utility.

    abstract::Consumer sleep tracking devices such as fitness trackers and smartphone apps have become increasingly popular. These devices claim to measure the sleep duration of their users and in some cases purport to measure sleep quality and awaken users from light sleep, potentially improving overall sleep. Most of these device...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2016.1171708

    authors: Kolla BP,Mansukhani S,Mansukhani MP

    更新日期:2016-05-01 00:00:00

  • Designing medical technology for resilience: integrating health economics and human factors approaches.

    abstract:INTRODUCTION:The slow adoption of innovation into healthcare calls into question the manner of evidence generation for medical technology. This paper identifies potential reasons for this including a lack of attention to human factors, poor evaluation of economic benefits, lack of understanding of the existing healthca...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2018.1418661

    authors: Borsci S,Uchegbu I,Buckle P,Ni Z,Walne S,Hanna GB

    更新日期:2018-01-01 00:00:00

  • Evaluation of the WATCHMAN left atrial appendage closure device.

    abstract::Left atrial appendage device occlusion for the preventions of systemic thromboembolism and stroke represents a major breakthrough in the field of cardiovascular disease. The wide prevalence of atrial fibrillation with devastating consequences of thromboembolic stroke as a result of thrombus arising from the left atria...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2014.940315

    authors: Alli O,Holmes D Jr

    更新日期:2014-11-01 00:00:00

  • Mechanical adjuncts for cardiocerebral resuscitation.

    abstract::Introduction: Cardiac arrest remains a worldwide health problem with very poor outcome. In the absence of bystander resuscitation, survival rates decrease by 10% per minute of arrest and global ischemia. Even the best manual chest compressions, however, can only produce a fraction of normal cardiac output and blood fl...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1649135

    authors: Riess ML,Balzer C

    更新日期:2019-09-01 00:00:00

  • Scaffolds for liver tissue engineering.

    abstract::This review focuses on the expanding role for biomaterials and polymer scaffolds in liver tissue engineering. Studies are subdivided into in vitro and in vivo approaches. The in vitro section of the review discusses the challenges specific to liver tissue engineering, and how the choice of scaffold and its structure i...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.3.1.21

    authors: Hammond JS,Beckingham IJ,Shakesheff KM

    更新日期:2006-01-01 00:00:00

  • Bicomponent electrospun scaffolds to design extracellular matrix tissue analogs.

    abstract::In the last decade, bicomponent fibers have been proposed to fabricate bio-inspired systems for tissue repair, regenerative medicine, medical healthcare and clinical applications. In comparison with monocomponent fibers, key advantage concerns their ability of self-adapting to the physiological conditions through an e...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2016.1126505

    authors: Guarino V,Cirillo V,Ambrosio L

    更新日期:2016-01-01 00:00:00

  • Mechanical circulatory support devices: methods to optimize hemodynamics during use.

    abstract:INTRODUCTION:Mechanical circulatory support (MCS) is an increasingly utilized mode of therapy in the management of advanced heart failure, both as bridge to heart transplantation and destination therapy. As MCS becomes more prevalent, it is ever more important to understand the complex hemodynamics of these devices, as...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2017.1324292

    authors: Chung BB,Sayer G,Uriel N

    更新日期:2017-05-01 00:00:00

  • Robot-assisted total hip arthroplasty.

    abstract::Precise and accurate biomechanical reconstruction during total hip arthroplasty (THA) is essential for durable long-term survivorship. Accurate fit of cementless hip implants is also crucial to reduce micromotion between the bone-implant interfaces to allow for stable osseointegration. Robotic technology aims to minim...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2016.1124018

    authors: Banerjee S,Cherian JJ,Elmallah RK,Pierce TP,Jauregui JJ,Mont MA

    更新日期:2016-01-01 00:00:00

  • Right heart transcatheter valve therapies - a review of prostheses for the pulmonary and tricuspid positions.

    abstract::Minimally invasive, catheter-based treatment of valvular dysfunction has become an integral part of clinical routine. As left heart valvular disease is much more common and thus commercially of interest, transcatheter solutions for the treatment of aortic and mitral valvular defects were the first to become broadly cl...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2015.985654

    authors: Kuetting M,Pott D,Sedaghat A,Ng YA,Egron S,Rosefort C,Werner N,Sachweh J,Steinseifer U

    更新日期:2015-03-01 00:00:00

  • Lung volume reduction with endobronchial valves in patients with emphysema.

    abstract:INTRODUCTION:Bronchoscopic lung volume reduction with endobronchial valves is a recently acknowledged treatment option in patients with severe emphysema and absence of interlobar collateral ventilation. In endobronchial valve treatment, implantation of one-way valves leads to deflation of a hyperinflated lung lobe. Mul...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2018.1538780

    authors: Van Der Molen MC,Klooster K,Hartman JE,Slebos DJ

    更新日期:2018-11-01 00:00:00

  • Holmium:YAG laser system for transmyocardial revascularization.

    abstract::Transmyocardial revascularization, using the US FDA-approved holmium: yttrium-aluminum-garnet (Ho:YAG) laser system, is a surgical option for patients with debilitating angina caused by diffuse coronary artery disease in areas of the heart not amenable to complete revascularization using conventional treatments. Incre...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1586/17434440.3.2.137

    authors: Allen KB

    更新日期:2006-03-01 00:00:00

  • Current and future developments in artificial muscles using electroactive polymers.

    abstract::For decades, electroactive polymers received relatively little attention due to their limited actuation capability. However, in the last 15 years, a series of electroactive polymer materials have emerged that produce a significant shape or size change in response to electrical stimulation. These materials have the clo...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2.6.731

    authors: Bar-Cohen Y

    更新日期:2005-11-01 00:00:00

  • Sorbent-based artificial liver devices: principles of operation, chemical effects and clinical results.

    abstract::Devices for support of patients with liver failure are of two types: bioartificial livers and artificial livers. Bioartificial livers include hepatocytes in bioreactors to provide both excretory and synthetic liver functions. Artificial livers use nonliving components to remove toxins of liver failure, supply nutrient...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.4.6.839

    authors: Carpentier B,Ash SR

    更新日期:2007-11-01 00:00:00

  • Remote-controlled internal lengthening plate for distraction osteogenesis in pediatric patients.

    abstract:OBJECTIVES:Limb lengthening by distraction osteogenesis is a technique widely used to treat limb length discrepancy resulting from trauma, congenital limb defects and long bone non-union. For decades, patients have resorted to the Ilizarov apparatus, prone to pin tract infections and scarring. Although implantable leng...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1080/17434440.2019.1599283

    authors: Gaudreau J,Mekhail M,Hamdy R,Villemure I

    更新日期:2019-04-01 00:00:00

  • Autofluorescence imaging videobronchoscopy in the detection of lung cancer: from research tool to everyday procedure.

    abstract::Autofluorescence imaging videobronchoscopy (AFI) is one of the new systems of autofluorescence bronchoscopy designed for thorough examination of bronchial mucosa. The integration of autofluorescence and videobronchoscopy provides clear images of normal and pathologically altered bronchial mucosa. Major indications for...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章

    doi:10.1586/erd.10.92

    authors: Zaric B,Perin B,Becker HD,Herth FF,Eberhardt R,Djuric M,Djuric D,Matijasevic J,Kopitovic I,Stanic J

    更新日期:2011-03-01 00:00:00

  • Update on the management and associated challenges of adult patients treated with veno-arterial extracorporeal membrane oxygenation.

    abstract:INTRODUCTION:Currently, veno-arterial extracorporeal membrane oxygenation (VA ECMO) represents a valuable treatment option for patients presenting with severe cardiogenic shock. Although the overall usage of VA ECMO in experienced centers is expanding, some management aspects remain challenging, with no consensus among...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1614439

    authors: Kado Y,Miyamoto T,Fukamachi K,Karimov JH

    更新日期:2019-06-01 00:00:00

  • Infections of electrophysiologic cardiac devices.

    abstract::Infections related to electrophysiologic cardiac device placement are increasing dramatically and are associated with adverse outcomes. With the US population aging and living longer, cardiac devices are utilized in an older population with significant comorbidities, making the threat from infectious complications sig...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.5.2.183

    authors: Uslan DZ

    更新日期:2008-03-01 00:00:00

  • The RNS System: responsive cortical stimulation for the treatment of refractory partial epilepsy.

    abstract::The RNS(®) System is the first commercially available device to provide closed-loop responsive brain stimulation. The system includes a cranially implanted neurostimulator that continually monitors the electrocorticogram through one or two depth and/or subdural cortical strip leads that are placed at the seizure focus...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2014.947274

    authors: Sun FT,Morrell MJ

    更新日期:2014-11-01 00:00:00

  • Innovative developments of the heart valves designed for use in ventricular assist devices.

    abstract::Prosthetic heart valves are routinely used for replacing diseased natural heart valves. Even today, after five decades of prosthetic heart valve development, in the authors opinion the main problem associated with these valves is the risk of thromboembolic complications caused by unnatural hemodynamics. Further growin...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2.1.61

    authors: Goubergrits L,Affeld K,Kertzscher U

    更新日期:2005-01-01 00:00:00

  • Using medical imaging for the detection of adverse events ("incidents") during the utilization of left ventricular assist devices in adult patients with advanced heart failure.

    abstract::Ventricular assist devices (VAD) are used for mechanical support of the terminally failing heart. Failure of these life supporting systems can be fatal. Early and reliable detection of any upcoming problems is mandatory and is crucial for the outcome. Medical imaging methods are described within this review, which are...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1586/17434440.2016.1166051

    authors: Kaufmann F,Krabatsch T

    更新日期:2016-05-01 00:00:00

  • Advanced methods of spinal stimulation in the treatment of chronic pain: pulse trains, waveforms, frequencies, targets, and feedback loops.

    abstract:INTRODUCTION:Spinal cord stimulation has emerged as a state-of-the-art evidence-based treatment for chronic neuropathic pain and mixed nociceptive-neuropathic pain. In recent years, several newer devices and treatment algorithms have provided unique and effective ways of treating chronic pain by spinal cord stimulation...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1567325

    authors: Maheshwari A,Pope JE,Deer TR,Falowski S

    更新日期:2019-02-01 00:00:00

  • A clinical update on the mid-term clinical performance of the Ovation endograft.

    abstract:INTRODUCTION:The Ovation stent-graft uncouples the steps of fixation and sealing via a pair of polymer-filled inflatable rings. Apart from the well-documented early results, newer data emerged for mid-term results of Ovation and are presented in this review. AREAS COVERED:Aim of this article was to report all current ...

    journal_title:Expert review of medical devices

    pub_type: 杂志文章,评审

    doi:10.1080/17434440.2019.1555467

    authors: Koutsoumpelis A,Georgakarakos E,Tasopoulou KM,Kontopodis N,Argyriou C,Georgiadis GS

    更新日期:2019-01-01 00:00:00