FDA Adverse Event Other Summary report: N

CONTOUR THREAD OR CONTOUR THREADS

MDR report key: 1172675 · Received September 16, 2008

Report

Report Number
2522801-2008-00036
Event Type
Other
Date Received
September 16, 2008
Date of Event
January 1, 2006
Report Date
September 16, 2008
Manufacturer
SURGICAL SPECIALTIES CORP/ (DBA ANGIOTECH)
Product Code
GAP
PMA / PMN Number
K041593-MIDF
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE DATE OF EVENT IS ESTIMATED. BROW LIFT, NECK LIFT, BI-DIRECTIONAL MIDFACE CONTOUR THREAD. THE DEVICE WAS NOT RETURNED FOR EVAL. FURTHERMORE, THE PRODUCT CODE/LOT IS UNK. RESULTS: THE DEVICE WAS NOT RETURNED FOR EVAL. NO PRODUCT EVAL CAN BE PERFORMED.

Description of Event or Problem · 1

THE PT REPORTED THAT SHE UNDERWENT A CONTOUR THREAD PROCEDURE TWO (2) YEARS AGO. TWO (2) CONTOUR THREADS WERE PLACED ON EACH SIDE OF HER MID-FACE REGION BY DR. THE PT REPORTS THAT THE THREADS ON THE RIGHT SIDE OF HER FACE ARE OKAY. HOWEVER, THE THREADS ON THE LEFT SIDE OF HER FACE ARE PALPABLE, SORE AND LUMPY. DR. TRIED TO REMOVE THE PRODUCT TWO (2) MONTHS AFTER THE INITIAL PROCEDURE BUT WAS UNSUCCESSFUL. THE PT SOUGHT A SECOND OPINION FOR REMOVAL OF THE PRODUCT, AND WAS TOLD THAT SHE WOULD HAVE PERMANENT SCARRING. THE PT IS STILL SEEKING INFO REGARDING REMOVAL OF THE CONTOUR THREADS. NOTE: THE CONTOUR THREAD PRODUCT LINE IS NO LONGER MANUFACTURED OR SOLD BY SURGICAL SPECIALTIES CORPORATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CONTOUR THREAD OR CONTOUR THREADS BARBED THREAD WITH NEEDLE GAP SURGICAL SPECIALTIES CORP/ (DBA ANGIOTECH) UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention NONE MADE AVAILABLE