FDA Adverse Event Injury Summary report: N

LIQUIFIX FIX8

MDR report key: 21080269 · Received January 6, 2025

Report

Report Number
9617175-2025-00001
Event Type
Injury
Date Received
January 6, 2025
Report Date
January 6, 2025
Manufacturer
ADVANCED MEDICAL SOLUTIONS (PLYMOIUTH) LTD
Product Code
PLJ
PMA / PMN Number
P220024
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PATIENT DETAILS WERE NOT PROVIDED FROM THE REPORTER. INFORMATION IS LIMITED AS THIS IS REPORTED THIRD PARTY VIA A REGISTRY.

Description of Event or Problem · 0

ACCORDING TO THE REPORT: DURING THE INTERIM PROGRESS REPORT OF OUR US CLINICAL STUDY, A RE-ADMISSION AND RE-OPERATION FOR BLEEDING COMPLICATION WAS REPORTED WITHIN THE 30 DAY OUTCOMES. THE PATIENT WAS READMITTED EMERGENTLY AND REOPERATION WAS PERFORMED. A HEMATOMA WAS FOUND IN THE RETROPERITONEUM AND WASHED OUT. THE FLAP CLOSURE WAS INTACT AT THE TIME AND TAKEN DOWN TO EVACUATE THE HEMATOMA. THE FLAP WAS RECLOSED USING A PERMANENT TACKER DEVICE. THE PATIENT WAS ADMITTED OVERNIGHT AND SENT HOME. AS IT IS REPORTED VIA A REGISTRY, SPECIFIC PATIENT DETAILS AND/OR SITE WAS NOT REPORTED. EXCEPT THAT IT IS IN THE USA AND IT IS THE LIQUIFIX FIX8 72014032 DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
972411 LIQUIFIX FIX8 HERNIA MESH FIXATION PLJ ADVANCED MEDICAL SOLUTIONS (PLYMOIUTH) LTD 72014032

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention