FDA Adverse Event Injury Summary report: N

UNKNOWN PROTACK

MDR report key: 13652943 · Received March 2, 2022

Report

Report Number
2647580-2022-00679
Event Type
Injury
Date Received
March 2, 2022
Date of Event
December 21, 2021
Report Date
March 2, 2022
Manufacturer
US SURGICAL PUERTO RICO
Product Code
GCJ
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

TITLE: MESH SAFETY IN PELVIC SURGERY: OUR EXPERIENCE AND OUTCOME OF BIOLOGICAL MESH USED IN LAPAROSCOPIC VENTRAL MESH RECTOPEXY SOURCE: WORLD JOURNAL OF CLINICAL CASES 2022 JANUARY 21; 10(3): 891-898. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 0

ACCORDING TO LITERATURE SOURCE OF STUDY PERFORMED BETWEEN JUNE 2012 AND AUGUST 2018, POSTOPERATIVE TO LAPAROSCOPIC VENTRAL MESH RECTOPEXY FOR RECTAL PROLAPSE, PATIENT EXPERIENCED DISCITIS NEAR THE SITE OF FIXATION OF THE MESH TO THE SACRAL PROMONTORY. THIS WAS DIAGNOSED WITH MAGNETIC RESONANCE IMAGING AND TREATED WITH ANTIBIOTICS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1953863 UNKNOWN PROTACK LAPAROSCOPE, GENERAL & PLASTIC SURGERY GCJ US SURGICAL PUERTO RICO UNKNOWN PROTACK

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention