FDA Adverse Event Injury Summary report: N

OVITEX 1S

MDR report key: 23323099 · Received October 17, 2025

Report

Report Number
3010513348-2025-00015
Event Type
Injury
Date Received
October 17, 2025
Date of Event
September 30, 2025
Report Date
October 17, 2025
Manufacturer
AROA BIOSURGERY
Product Code
FTM
UDI-DI
09421904065086
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
GA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DYSPHAGIA AND PERFORATION (I.E. EROSION) ARE NOTED AS POSSIBLE ADVERSE EVENTS REPORTED ASSOCIATED WITH HERNIA REPAIR IN THE OVITEX INSTRUCTIONS FOR USE. A BATCH RECORD REVIEW SHOWED NO NON-CONFORMANCES OR ANOMALIES THAT MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT UNDERWENT HIATAL HERNIA REPAIR WITH OVITEX 1SP AND THE LINX REFLUX MANAGEMENT SYSTEM ON (B)(6) 2025. THE PATIENT PRESENTED WITH DYSPHAGIA AND RETURNED IN (B)(6) 2025 FOR ENDOSCOPY ON (B)(6) 2025 WHERE POTENTIAL ENTRY INTO THE ESOPHAGUS WAS NOTED. THE SURGEON NOTED THAT THEY PLAN TO PERFORM AN ADDITIONAL ENDOSCOPY TO ADDRESS THE ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
300439 OVITEX 1S SURGICAL MESH FTM AROA BIOSURGERY F10246-0610P ERT-24I19 09421904065086

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention| H