FDA Adverse Event
Injury
Summary report: N
PDO THREAD
MDR report key: 21134298
·
Received January 12, 2025
Report
- Report Number
- 3015289316-2024-00002
- Event Type
- Injury
- Date Received
- January 12, 2025
- Date of Event
- December 5, 2024
- Report Date
- December 12, 2024
- Manufacturer
- PDO MAX
- Product Code
- NEW
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
NONE.
Description of Event or Problem · 0
RECEIVED A COMPLAINT FROM A PROVIDER THAT A PATIENT MAY HAVE IN INFECTION AT THE TREATMENT SITE. THE NOTES FROM THE PROVIDER ARE COPIED HERE "RIGHT CHEEK HAD SOME PUCKERING AFTER TREATMENT INITIALLY; PATIENT CANCELLED FOLLOW UP IN 4 WEEKS; PRESENTED RECENTLY WITH BULGING ON RIGHT SIDE ONLY WHERE LIFTING THREAD WAS PLACED AND HAD INITIAL PUCKERING. CLIENT IS A SELF PROCLAIMED "PICKER" AND MAY HAVE PICKED AT THIS LOCATION. PATIENT WAS PRESCRIBED A STEROID DOSE PACK AND STARTED CEPHLEXIN 500 MG PRO BID."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 511992 | PDO THREAD | SUTURE, SURGICAL, ABSORBABLE, POLYDIOXANONE | NEW | PDO MAX | LEVO 19GX100MM | YR24070002 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 58 YR | Female | Required Intervention |