FDA Adverse Event
Malfunction
Summary report: N
DURAMESH
MDR report key: 21967828
·
Received May 6, 2025
Report
- Report Number
- 21967828
- Event Type
- Malfunction
- Date Received
- May 6, 2025
- Date of Event
- April 8, 2025
- Report Date
- April 29, 2025
- Manufacturer
- MESH SUTURE, INC.
- Product Code
- GAW
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MO
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
DURAMESH WAS OPENED TO STERILE FIELD FROM PACKAGE. MD BEGAN SEWING DURAMESH IN PATIENT FOR PARASTOMAL HERNIA REPAIR AND NEEDLE CAME DETACHED FROM MESH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 69028 | DURAMESH | SUTURE, NONABSORBABLE, SYNTHETIC, POLYPROPYLENE | GAW | MESH SUTURE, INC. | MSI-501 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 76 YR | Male |