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 |