FDA Adverse Event Injury Summary report: N

MESH SOFRADIM - PARIETEX COMPOSITE MESH

MDR report key: 10446167 · Received August 24, 2020

Report

Report Number
9615742-2020-01894
Event Type
Injury
Date Received
August 24, 2020
Report Date
August 24, 2020
Manufacturer
SOFRADIM PRODUCTION SAS
Product Code
FTL
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 1

CONCOMITANT MEDICAL PRODUCT: ETHICON PROLENE MESH (PRODUCT ID: PMH, LOT NUMBER: DPB832); ETHICON PROLENE MESH (PRODUCT ID: PMH, LOT NUMBER: DMP516). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

THE PATIENT¿S ATTORNEY ALLEGED A DEFICIENCY AGAINST THE DEVICE. THE PRODUCT WAS USED FOR THERAPEUTIC TREATMENT OF A HERNIA. IT WAS REPORTED THAT AFTER IMPLANT, THE PATIENT EXPERIENCED AN UNSPECIFIED ADVERSE OUTCOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
906615 MESH SOFRADIM - PARIETEX COMPOSITE MESH MESH, SURGICAL, POLYMERIC FTL SOFRADIM PRODUCTION SAS PCO9 PLJ00352

Patients

Seq Age Sex Outcome Treatment
1 Other