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 |