FDA Adverse Event Injury Summary report: N

FLOSEAL

MDR report key: 18945094 · Received March 20, 2024

Report

Report Number
1416980-2024-01240
Event Type
Injury
Date Received
March 20, 2024
Report Date
July 9, 2024
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
LMF
PMA / PMN Number
NI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TU
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

C1: MANUFACTURER/COMPOUNDER: BAXTER HEALTHCARE - VIENNA INDUSTRIESTRASSE 67 VIENNA 1220 AUSTRIA. E1: (B)(6). G1: DEVICE MANUFACTURER POSTAL CODE: (B)(4). AYDOGAN, TAHSIN BATUHAN, BINBAY, MURAT (2023). CAN A SINGLE-LAYER OF RENORRHAPHY BE APPLIED WITH HEMOSTATIC AGENT IN ROBOT ASSISTED LAPAROSCOPIC NEPHRON-SPARING SURGERY APPLIED TO COMPLEX RENAL TUMORS? YENI ÜROLOJI DERGISI - THE NEW JOURNAL OF UROLOGY, 18(1):55-61. DOI: 10.33719/YUD.2023;18-1-1191867. H10: THE DEVICE WAS NOT RETURNED AND THE LOT NUMBER IS UNKNOWN; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

CORRECTED INFORMATION: G2 AND G4. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

ONE PATIENT UNDERWENT A ROBOTIC PARTIAL NEPHRECTOMY DUE TO A COMPLEX RENAL TUMOR WHEREIN FLOSEAL WAS APPLIED. AFTER AN UNSPECIFIED AMOUNT OF TIME THE PATIENT PRESENTED WITH A FEVER (NOT FURTHER SPECIFIED). UNSPECIFIED ANTIPYRETICS WERE INITIATED. PATIENT OUTCOME WAS NOT PROVIDED. NO FURTHER INFORMATION WAS AVAILABLE AT THE TIME OF THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
523839 FLOSEAL AGENT, ABSORBABLE HEMOSTATIC, COLLAGEN BASED LMF BAXTER HEALTHCARE CORPORATION NA NI

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention