FDA Adverse Event Summary report: N

DURASEAL

MDR report key: 1645866 · Received March 26, 2010

Report

Report Number
1645866
Date Received
March 26, 2010
Date of Event
January 29, 2010
Report Date
March 12, 2010
Manufacturer
CONFLUENT SURGICAL, INC.
Product Code
NQR
Report Source
User Facility report
Reporter Location
NJ, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PATIENT UNDERWENT RIGHT SIDE DISCECTOMY. DURASEAL & DURAGEN EMPLOYED DURING SURGERY. IN POST-OPERATIVE PERIOD PATIENT DEVELOPED SEVERE RIGHT SIDED PAIN PREVENTING MOBILITY. SYMPTOMS RESPONDED WITH ORAL STEROIDS. AFTER SEVERAL DAYS AT HOME THE PATIENT'S PAIN RETURNED AND WAS MUCH MORE INTENSE. IMAGING REVEALED SUBSTANTIAL PRESSURE ON DURAL SAC WITH WHAT APPEARED TO BE A HUGELY EXPANDED VOLUME OF DURASEAL. THE PATIENT SUBSEQUENTLY UNDERWENT A RE-EXPLORATION AND UPON ENCOUNTERING DURASEAL IT WAS NOTED TO BE SOFT AND GELATINOUS & WAS WITHOUT FIRM CONSISTENCY. THE DURAGEN HAD BEEN COMPLETELY DISPLACED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DURASEAL SEALANT, DURAL; CSF LEAK SEALANT NQR CONFLUENT SURGICAL, INC. * CO82895-03

Patients

Seq Age Sex Outcome Treatment
1 43 YR