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 |