FDA Adverse Event Injury Summary report: N

LATERA ABSORBABLE NASAL

MDR report key: 10665302 · Received October 12, 2020

Report

Report Number
3006345872-2020-00008
Event Type
Injury
Date Received
October 12, 2020
Date of Event
September 21, 2020
Report Date
October 16, 2020
Manufacturer
ENTELLUS MEDICAL, INC.
Product Code
NHB
PMA / PMN Number
K161191
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

CORRECTION H6 DEVICE CODE.

Description of Event or Problem · 0

ON (B)(6) 2020 THE PATIENT REPORTED VIA THE STRYKER WEBSITE THAT THE LATERA IMPLANT HAD NOT BEEN ABSORBED 2.5 YEARS AFTER IMPLANT AND IS PROTRUDING OUT OF THEIR FACE CAUSING INFECTIONS, HEADACHES AND BREATHING PROBLEMS. ADDITIONAL DETAILS OTHER THAN PATIENT¿S SELF REPORT OF ¿IMPLANT STICKING OF HER FACE, INFECTION, HEADACHES AND BREATHING ONLY GETTING WORSE¿ WERE UNABLE TO BE CONFIRMED.

Additional Manufacturer Narrative · 1

IT IS BELIEVED THE LATERA IMPLANT REMAINS IMPLANTED AS NO PRODUCT HAS BEEN RETURNED TO STRYKER FOR ANALYSIS.

Description of Event or Problem · 1

ON SEPTEMBER 12, 2020 THE PATIENT REPORTED VIA THE STRYKER WEBSITE THAT THE LATERA IMPLANT HAD NOT BEEN ABSORBED 2.5 YEARS AFTER IMPLANT AND IS PROTRUDING OUT OF THEIR FACE CAUSING INFECTIONS, HEADACHES AND BREATHING PROBLEMS. ADDITIONAL DETAILS OTHER THAN PATIENT¿S SELF REPORT OF ¿IMPLANT STICKING OF HER FACE, INFECTION, HEADACHES AND BREATHING ONLY GETTING WORSE¿ WERE UNABLE TO BE CONFIRMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1128888 LATERA ABSORBABLE NASAL NHB, LATERA ABSORBABLE NASAL NHB ENTELLUS MEDICAL, INC. LATANI02 UNK

Patients

Seq Age Sex Outcome Treatment
1 Other