FDA Adverse Event Injury Summary report: N

GORE PRECLUDE DURA SUBSTITUTE

MDR report key: 3203722 · Received June 26, 2013

Report

Report Number
2017233-2013-00404
Event Type
Injury
Date Received
June 26, 2013
Date of Event
November 1, 2005
Report Date
June 7, 2013
Manufacturer
W.L. GORE & ASSOCIATES
Product Code
GXQ
PMA / PMN Number
K953969
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE LOT NUMBER IS UNAVAILABLE; THEREFORE, A REVIEW OF THE MFG RECORDS CANNOT BE PERFORMED. LITERATURE CITATION: YOSHIOKA N, ET. AL. TREATMENT OF POSTCRANIOTOMY INFECTION WHEN USING EPTFE SHEET AS AN ARTIFICIAL DURA MATER. JAPANESE JOURNAL OF NEUROSURGERY 2007; 16:555-560.

Description of Event or Problem · 1

THIS INFO WAS RECEIVED THROUGH LITERATURE ARTICLE "TREATMENT FOR POSTCRANIOTOMY INFECTION WHEN USING EPTFE SHEET AS AN ARTIFICIAL DURA MATER" PUBLISHED IN JAPANESE JOURNAL OF NEUROSURGERY, 2007. THE ARTICLE REPORTS A PT UNDERWENT A CRANIOTOMY FOR AN ANEURYSM. AN EPTFE SHEET WAS USED FOR ARTIFICIAL DURA MATER IN THE PROCEDURE. A POSTOPERATIVE INFECTION AND REFRACTORY SKIN FISTULA DEVELOPED, FOLLOWING WHICH, THE EPTFE SHEET WAS REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
290267 GORE PRECLUDE DURA SUBSTITUTE GXQ W.L. GORE & ASSOCIATES

Patients

Seq Age Sex Outcome Treatment
1 55 YR Other