FDA Adverse Event Other Summary report: N

CONTOUR THREAD OR CONTOUR THREADS

MDR report key: 1024693 · Received April 3, 2008

Report

Report Number
2522801-2008-00006
Event Type
Other
Date Received
April 3, 2008
Date of Event
January 1, 2005
Report Date
April 3, 2008
Manufacturer
SURGICAL SPECIALTIES (DBA ANGIOTECH)
Product Code
GAW
PMA / PMN Number
K041593
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE 510(K) #'S FOR CONTOUR THREADS: K042856 - BROW LIFT, K05247 - NECK LIFT, K050548 - BI-DIRECTIONAL MIDFACE CONTOUR THREAD. THE DEVICE WAS NOT RETURNED FOR EVALUATION. FURTHERMORE, THE PRODUCT CODE/LOT IS UNK. RESULTS: THE DEVICE WAS NOT RETURNED FOR EVALUATION. NO PRODUCT EVALUATION CAN BE PERFORMED. (B) (4).

Description of Event or Problem · 1

PT HAD A BROW AND MIDFACE CONTOUR THREAD PROCEDURE IN 2005. FOLLOWING THE SURGERY, THE PT REPORTS EXPERIENCING PAIN IN THE BROW AREA, EXTRUSION OF THREADS, SCARRING ALONG THE THREAD PATH AND THE THREADS ARE VISIBLE UNDER THE SKIN. SEVERAL OF THE THREADS HAVE BEEN REMOVED AND THE PT IS SEEKING ASSISTANCE WITH THE REMOVAL OF THE REMAINING THREADS. NOTE: THE CONTOUR THREAD PRODUCT LINE IS NO LONGER MANUFACTURED OR SOLD BY SURGICAL SPECIALITIES (DBA ANGIOTECH).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CONTOUR THREAD OR CONTOUR THREADS CONTOUR THREAD OR CONTOUR THREADS GAW SURGICAL SPECIALTIES (DBA ANGIOTECH) UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 32 YR Required Intervention