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 |