FDA Adverse Event Injury Summary report: N

INTEGRITY IMPLANT

MDR report key: 23865936 · Received December 22, 2025

Report

Report Number
3007093114-2025-00018
Event Type
Injury
Date Received
December 22, 2025
Date of Event
November 24, 2025
Report Date
June 9, 2026
Manufacturer
ANIKA
Product Code
OWX
UDI-DI
00817337000258
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THIS CASE IS STILL UNDER INVESTIGATION. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON RECEIPT OF NEW AND RELEVANT INFORMATION OR UPON COMPLETION OF THE INVESTIGATION BY THE MANUFACTURING PLANT.

Description of Event or Problem · 0

ON (B)(6) 2025, THE DISTRIBUTOR REPORTED THE FOLLOWING TO ANIKA SALES REPRESENTATIVE: PATIENT SURGERY WAS PERFORMED ON A 61-YEAR-OLD FEMALE ON (B)(6) 2025 FOR A PERONEAL TENDON TEAR USING AN INTEGRITY IMPLANT ANIKA PN 6000101 25MMX30MM LOT NUMBER 0000011809. PATIENT LATER DEVELOPED A LARGE CELL TUMOR AROUND HER PERONEAL TENDON. DOCTOR WAS ABLE TO REMOVE THE ABSCESS WITH AN ADDITIONAL SURGERY ON (B)(6) 2025. DOCTOR WAS ABLE TO GET THE AQUEOUS LAYER OUT. COMPLAINT SAMPLE DISCARDED. NO RADIOGRAPHS ARE AVAILABLE. NO INFECTIONS OCCURRED DUE TO IMPLANT. PATIENT IS CURRENTLY RECOVERING FROM THE SECOND SURGERY. PATIENT DISCHARGE SUMMARY NOT AVAILABLE. PATIENT COMORBIDITIES ARE UNKNOWN. POST TREATMENT PROTOCOLS HAVE BEEN FOLLOWED. ADDITIONAL INFORMATION IS BEING SOLICITED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2210598 INTEGRITY IMPLANT MESH, SURGICAL, NON-ABSORBABLE, ORTHOPAEDICS, REINFORCEMENT OF TENDON OWX ANIKA 0000011809 00817337000258

Patients

Seq Age Sex Outcome Treatment
1 61 YR Female Required Intervention