FDA Adverse Event Injury Summary report: N

OVITEX 1S

MDR report key: 22881649 · Received August 24, 2025

Report

Report Number
3007321028-2025-00038
Event Type
Injury
Date Received
August 24, 2025
Date of Event
June 29, 2025
Report Date
August 21, 2025
Manufacturer
AROA BIOSURGERY LTD.
Product Code
FTM
UDI-DI
09421904065130
PMA / PMN Number
K153632
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

AROA'S REVIEW OF MANUFACTURING DOCUMENTATION FOR THE SUBJECT LOT (ERT-24I03) HAS CONFIRMED THAT THE DEVICES WERE PRODUCED IN ACCORDANCE WITH THE ESTABLISHED PROCEDURES. ALL PROCESS SPECIFICATIONS AND FINAL RELEASE SPECIFICATIONS WERE SATISFIED. ADHESION, BOWEL OBSTRUCTION, AND INFECTION ARE NOTED AS POTENTIAL COMPLICATIONS IN THE INSTRUCTIONS FOR USE OF THE DEVICE. THERE WAS NO EVIDENCE TO INDICATE THAT THE DEVICE CAUSED OR CONTRIBUTED TO THE EVENT.

Description of Event or Problem · 0

A PATIENT UNDERWENT A HERNIA REPAIR (IPOM) WITH OVITEX 1S PERMANENT IN APPROXIMATELY (B)(6) 2025. THE CASE WAS PLANNED TO BE LAPAROSCOPIC BUT WAS CONVERTED TO OPEN. ON (B)(6) 2025, THE PATIENT RETURNED TO THE EMERGENCY ROOM AND WAS TAKEN IN FOR SURGERY. DURING THIS SURGERY, THE SURGICAL SITE APPEARED INFECTED, AND ADHESIONS WERE PRESENT. THE DEVICE WAS REMOVED AND A SMALL BOWEL RESECTION PERFORMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2486497 OVITEX 1S SURGICAL MESH FTM AROA BIOSURGERY LTD. F10246-2020P ERT-24I03 09421904065130

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Hospitalization| R