FDA Adverse Event Summary report: N

SEPRAFILM (SODIUM HYALURONATE, CARBOXYMETHYLCELLULOSE) MEMBRANE

MDR report key: 1101923 · Received August 5, 2008

Report

Report Number
1220423-2008-00034
Date Received
August 5, 2008
Date of Event
July 1, 2008
Report Date
July 23, 2008
Manufacturer
GENZYME BIOSURGERY (SEPRAFILM/PACK)
Product Code
MCN
PMA / PMN Number
PMA P950034
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

PELVIC ABSCESS [PELVIC ABSCESS]. CASE DESCRIPTION: INITIAL INFORMATION WAS RECEIVED ON 23-JUL-2008 FROM HCP VIA COMPANY REPRESENTATIVE. THE REPORTER INDICATED (4) DIFFERENT FEMALE PATIENTS DEVELOPED PELVIC ABSCESS AFTER PLACEMENT OF SEPRAFILM. THIS REPORT IS FOR THE FIRST OF FOUR PATIENTS. AT 3-4 WEEKS PRIOR TO THE SUBMISSION OF THIS REPORT, THE PATIENT RECEIVED SEPRAFILM PLACEMENT AFTER A CAESARIAN SECTION AND DEVELOPED PELVIC ABSCESS. AT THE TIME OF THIS REPORT, THE OUTCOME OF THE PATIENT WAS UNKNOWN. NO FURTHER INFORMATION PROVIDED. (B) (6).

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 Other