FDA Adverse Event Injury Summary report: N

SEPRAFILM (SODIUM HYALURONATE, CARBOXYMETHYLCELLULOSE) MEMBRANE

MDR report key: 2230410 · Received August 15, 2011

Report

Report Number
1220423-2011-00037
Event Type
Injury
Date Received
August 15, 2011
Report Date
August 4, 2011
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

Additional Manufacturer Narrative · 1

MFR'S COMMENT: THE BENEFIT-RISK RELATIONSHIP OF SEPRAFILM IS NOT AFFECTED BY THIS REPORT.

Description of Event or Problem · 1

ACUTE CORONARY OCCLUSION (SLURRY) [CORONARY ARTERY OCCLUSION]. FEELING UNWELL WITH ILEUS [SLURRY] [ILEUS]. CASE DESCRIPTION: LITERATURE-TRIAL REPORT WAS RECEIVED ON (B)(6) 2011 FROM A PHYSICIAN REGARDING A PT (IDENTIFIERS NOT PROVIDED). THIS REPORT IS FROM A LITERATURE ARTICLE ENTITLED "SEPRAFILM SLURRY DOES NOT INCREASE COMPLICATION RATES AFTER LAPAROSCOPIC COLECTOMY". THERE WERE TWO GROUPS. GROUP 2 CONSISTED OF 50 PTS WHO UNDERWENT LAPAROSCOPIC COLECTOMY FOLLOWED BY THE APPLICATION OF THE SEPRAFILM SLURRY. THE SLURRY WAS CREATED AT THE END OF THE OPERATION BY DISSOLVING TWO PROCEDURE PACKS (EACH CONTAINING SIX 3 X 6 INCH SHEETS) OF SEPRAFILM IN 120 ML OF WARM NORMAL SALINE. THE SLURRY WAS DELIVERED INTO THE PERITONEAL CAVITY USING A 16-FR. ROBINSON CATHETER. A (B)(6) PT WITH A HISTORY OF CORONARY ARTERY DISEASE (CAD), DIABETES, CURRENT SMOKER, STROKE AND MYOCARDIAL INFARCTION (STATUS POSTCORONARY ARTERY BYPASS GRAFT) UNDERWENT LAPAROSCOPIC RIGHT HEMICOLECTOMY FOR A LARGE CECAL POLYP. HE WAS READMITTED TO THE HOSPITAL FEELING UNWELL WITH ILEUS AND DIED THREE DAYS AFTER READMISSION. POSTMORTEM EXAMINATION CONFIRMED ACUTE CORONARY OCCLUSION WITH NO ABNORMALITY IN THE PERITONEAL CAVITY. THE AUTHOR INDICATED THAT THE DEATH WAS NOT RELATED TO ANY INTRAABDOMINAL COMPLICATIONS. THE ACTION TAKEN WITH SEPRAFILM WAS NOT PROVIDED. THE PT'S OUTCOME WAS FATAL. CONCOMITANT MEDICATIONS WERE NOT PROVIDED. THE RELATIONSHIP BETWEEN SEPRAFILM AND THE EVENTS OF CORONARY ARTERY DISEASE AND ILEUS WAS NOT PROVIDED BY THE REPORTING PHYSICIAN.

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 58 YR Death| H