FDA Adverse Event Injury Summary report: N

UNKNOWN NOVAFIL SUTURE

MDR report key: 10952694 · Received December 5, 2020

Report

Report Number
9612501-2020-01798
Event Type
Injury
Date Received
December 5, 2020
Date of Event
September 17, 2019
Report Date
December 4, 2020
Manufacturer
DAVIS & GECK CARIBE LTD
Product Code
GAT
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

TITLE: LAPAROSCOPIC MANAGEMENT OF CHYLOUS ASCITES POSTHIATAL HERNIA REPAIR WITH TOUPET FUNDOPLICATION SOURCE: JOURNAL OF MINIMAL ACCESS SURGERY, OCTOBER-DECEMBER 2020, 421-3, VOLUME 16, ISSUE 4. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

ACCORDING TO THE LITERATURE SOURCE OF STUDY, A CASE STUDY REPORTED A PATIENT WHO UNDERWENT AN ELECTIVE LAPAROSCOPIC HIATAL HERNIA REPAIR WITH TOUPET FUNDOPLICATION. THE SUTURE WAS USED TO SECURE THE FUNDOPLICATION. THE PATIENT EXPERIENCED A POST-OPERATIVE COMPLICATION OF CHYLE LEAK THAT WAS DISCOVERED 5 MONTHS LATER AND RE-OPERATION WAS REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1420265 UNKNOWN NOVAFIL SUTURE SUTURE, NONABSORBABLE, SYNTHETIC, POLYETHYLENE GAT DAVIS & GECK CARIBE LTD UNKNOWN NOVAFIL SUTURE

Patients

Seq Age Sex Outcome Treatment
1 69 YR Required Intervention