FDA Adverse Event Injury Summary report: N

SEPRAFILM (SODIUM HYALURONATE, CARBOXYMETHYLCELLULOSE) MEMBRANE

MDR report key: 1033310 · Received April 21, 2008

Report

Report Number
1220423-2008-00025
Event Type
Injury
Date Received
April 21, 2008
Report Date
April 8, 2008
Manufacturer
GENZYME BIOSURGERY (SEPRAFILM/PACK)
Product Code
MCN
PMA / PMN Number
PMA P950034
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PELVIC PAIN [SLURRY] [PELVIC PAIN]. ACUTE PERITONITIS [SLURRY] [PERITONITIS]. CASE DESCRIPTION: SPONTANEOUS REPORT RECEIVED ON 08-APR-2008 FROM A PHYSICIAN VIA AN OUTSIDE COMPANY REPRESENTATIVE REGARDING A FEMALE PATIENT (INITIALS AND AGE UNKNOWN) WHO HAD AN UNKNOWN RELEVANT MEDICAL HISTORY. "SOMETIME IN THE LAST 6 MONTHS" (EXACT DATES NOT REPORTED), THE PATIENT UNDERWENT A RETROPERITONEAL DISSECTION WITH PARTIAL OMENTECTOMY AND LEFT OOPHORECTOMY, IN WHICH THE HCP LAPAROSCOPICALLY USED 5ML OF FLOSEAL ALONG WITH A SEPRAFILM "SLURRY" (# OF SEPRAFILM SHEETS USED NOT REPORTED). HE DID NOT RINSE AWAY OR IRRIGATE THE EXCESS FLOSEAL. AFTER THE INITIAL SURGERY, THE PATIENT DEVELOPED SIGNS OF AN INFECTION AND "REQUIRED RE-OPERATION DUE TO PELVIC PAIN." THE PHYSICIAN REPORTED, THAT THE PATIENT HAD "DIFFUSE INFLAMMATION" AT THE SITES OF SEPRAFILM AND FLOSEAL APPLICATION AND UNDERWENT AN EXPLORATORY OPERATION WHICH REVEALED ACUTE PERITONITIS. THE PHYSICIAN STATED, THAT HE "COULD NOT FIND AN EXPLANATION FOR THE ACUTE PERITONITIS". THE OUTSIDE COMPANY REPRESENTATIVE INFORMED THE HCP OF THE RECOMMENDATION OF THE FLOSEAL IFU - "THAT ONCE BLEEDING HAS CEASED, EXCESS PRODUCT THAT IS NOT INCORPORATED INTO THE CLOT, SHOULD BE REMOVED BY GENTLE IRRIGATION." AS OF THE DATE OF RECEIPT OF THIS REPORT, THE PATIENT OUTCOME WAS RECOVERED (RECOVERY DATE UNKNOWN).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SEPRAFILM (SODIUM HYALURONATE, CARBOXYMETHYLCELLULOSE) MEMBRANE BIORESORBABLE ADHESION BARRIER MCN GENZYME BIOSURGERY (SEPRAFILM/PACK) UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Hospitalization| R