FDA Adverse Event Injury Summary report: N

OVITEX REINFORCED TISSUE MATRIX

MDR report key: 15489429 · Received September 26, 2022

Report

Report Number
3007321028-2022-00036
Event Type
Injury
Date Received
September 26, 2022
Report Date
September 27, 2022
Manufacturer
AROA BIOSURGERY LTD.
Product Code
FTM
UDI-DI
09421904065031
PMA / PMN Number
K153632
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A REVIEW OF THE RELEVANT BATCH RECORD WAS CONDUCTED WHICH SHOWED THE DEVICE LOT MET ALL RELEASE SPECIFICATIONS AND NO RELEVANT ANOMALIES OR NON-CONFORMANCES WERE NOTED. NO OTHER SIMILAR REPORTS HAVE BEEN NOTED ASSOCIATED WITH THIS LOT ASIDE FROM THESE FOUR RECURRENCES NOTED. A REVIEW OF SALES RECORDS NOTED THAT THIS DEVICE LOT HAS BEEN UTILIZED AT THIS HOSPITAL 34 TIMES WITH NO OTHER ISSUES REPORTED. FURTHER, BALL BURST TESTING WAS COMPLETED ON AVAILABLE SAMPLES FROM THE SAME LOT. ALL SAMPLES TESTED MET THE PRE-DEFINED STRENGTH SPECIFICATION. IT WAS NOTED BY THE SURGEON THAT THE HERNIA RECURRENCE REPAIR WAS CONDUCTED IN A DIFFERENT MANNER AS THE ORIGINAL REPAIR, THUS A SURGICAL ASSESSMENT OF THE ORIGINAL REPAIR AND THE SURGICAL MESH COULD NOT BE CONDUCTED.

Description of Event or Problem · 0

A SURGEON REPORTED FOUR SEPARATE INDIRECT INGUINAL HERNIA RECURRENCES AFTER INGUINAL HERNIA REPAIR WITH OVITEX CORE. ALL RECURRENCES WERE ADDRESSED VIA A SECOND REPAIR OPERATION. THIS IS ONE OF THESE FOUR REPORTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2045244 OVITEX REINFORCED TISSUE MATRIX SURGICAL MESH FTM AROA BIOSURGERY LTD. F10244-1020P ERT-21K10 09421904065031

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention