FDA Adverse Event Injury Summary report: N

C-QUR EDGE MESH

MDR report key: 2963673 · Received January 2, 2013

Report

Report Number
1219977-2012-00187
Event Type
Injury
Date Received
January 2, 2013
Date of Event
April 20, 2009
Report Date
April 22, 2009
Manufacturer
ATRIUM MEDICAL CORP.
Product Code
FTL
PMA / PMN Number
K050311
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

UPON EXAMINATION, THE EXPLANT DID NOT APPEAR TO BE IMMERSED IN FORMALIN AND WAS ALMOST BLACK IN COLOR. FOR THIS REASON, THE PHYSICAL APPEARANCE OF THE EXPLANT WAS NOT INVESTIGATED THOROUGHLY. SINCE ATRIUM WAS UNABLE TO OBTAIN THE LOT NUMBER OF THE PRODUCT FROM THE HOSPITAL, THE LOT HISTORY RECORD OF THE MESH WAS NOT ABLE TO BE REVIEWED. SOFT TISSUE INFECTIONS LEADING TO MESH INFECTIONS ARE NOT INFREQUENT OCCURRENCES IN HERNIA REPAIR, ESPECIALLY OPEN ABDOMINAL REPAIR. (B)(4) REPORTS AN 8.7% WOUND INFECTION AFTER HERNIA SURGERY USING MESH. THE CAUSES OF THESE INFECTIONS ARE NUMEROUS BUT ARE MOSTLY RELATED TO SURGICAL TECHNIQUE AND PT HEALTH. WITH THE INFO AVAILABLE, WE WERE UNABLE TO DETERMINE A CAUSE OF INFECTION RESULTING IN THE NECESSITY OF MESH EXPLANT.

Description of Event or Problem · 1

INFECTED EXPLANT BEING RETURNED FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
976 C-QUR EDGE MESH FTL ATRIUM MEDICAL CORP. 31228

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention