FDA Adverse Event Other Summary report: N

SEPRAFILM (SODIUM HYALURONATE, CARBOXYMETHYLCELLULOSE) MEMBRANE

MDR report key: 1702144 · Received May 27, 2010

Report

Report Number
1220423-2010-00011
Event Type
Other
Date Received
May 27, 2010
Date of Event
May 1, 2010
Report Date
May 14, 2010
Manufacturer
GENZYME BIOSURGERY (SEPRAFILM/PACK)
Product Code
MCN
PMA / PMN Number
P950034
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ABSCESS AT THE CESAREAN SECTION SURGICAL SITE WHERE SEPRAFILM HAD BEEN PLACED [ABDOMINAL ABSCESS]. CASE DESCRIPTION: SPONTANEOUS REPORT RECEIVED ON (B)(6) 2010, FROM A PHYSICIAN VIA A COMPANY REPRESENTATIVE REGARDING AN "APPROXIMATELY" (B)(6) FEMALE PT, INITIALS UNKNOWN, WITH A RELEVANT MEDICAL HISTORY OF A PRIMARY CESAREAN SECTION. APPROXIMATELY 10 DAYS AGO, THE PATIENT UNDERWENT A PRIMARY CESAREAN SECTION DURING WHICH SEPRAFILM WAS PLACED. ON AN UNK DATE, AFTER PLACEMENT OF SEPRAFILM, THE PATIENT DEVELOPED AN ABSCESS AT THE CESAREAN SECTION SURGICAL SITE WHERE THE SEPRAFILM HAD BEEN PLACED. THE ABSCESS HAS BEEN DRAINED AND SAMPLES HAVE BEEN SUBMITTED FOR LABORATORY ASSESSMENT. AS OF THE DATE OF THE REPORT, THE RESULTS OF THE LABORATORY ASSESSMENT WERE PENDING. NO FURTHER INFORMATION WAS PROVIDED. AS OF THE DATE OF RECEIPT OF THIS REPORT, THE PATIENT OUTCOME WAS UNK. MANUFACTURER'S COMMENT: THE BENEFIT-RISK RELATIONSHIP OF SEPRAFILM IS NOT AFFECTED BY THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SEPRAFILM (SODIUM HYALURONATE, CARBOXYMETHYLCELLULOSE) MEMBRANE BIORESORBABLE ADHESION BARRIER MCN GENZYME BIOSURGERY (SEPRAFILM/PACK) UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 25 YR Required Intervention