FDA Adverse Event Other Summary report: N

MEDPOR IMPLANT

MDR report key: 1392904 · Received May 21, 2009

Report

Report Number
1057129-2009-00002
Event Type
Other
Date Received
May 21, 2009
Report Date
May 20, 2009
Manufacturer
POREX SURGICAL
Product Code
HPZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

DATES OF IMPLANTATION: (B)(6) 2008. (B)(6) 2008. (B)(6) 2008. LOT NUMBER INFO WAS NOT PROVIDED BY THE DOCTOR FOR FURTHER EVAL, THEREFORE, NO CONCLUSION CAN BE DRAWN. NO INFO REGARDING THE CONDITION OF THE PT AFTER REMOVAL OF THE IMPLANTS COULD BE OBTAINED FROM THE SURGEON.

Description of Event or Problem · 1

THE DOCTOR STATED THAT HE HAD THREE PTS THAT RECEIVED A MEDPOR TITAN CRANIAL CURVE IMPLANT IN (B)(6) 2008. THE DOCTOR STATED THAT EACH PT DEVELOPED AN INFECTION APPROX FIVE TO SIX WEEKS AFTER SURGERY. THE DOCTOR REPORTED THAT THE MEDPOR IMPLANTS WERE REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MEDPOR IMPLANT FACIAL RECONSTRUCTION HPZ POREX SURGICAL NA UNK

Patients

Seq Age Sex Outcome Treatment
1 Other