FDA Adverse Event Other Summary report: N

TYRX BRAND AIGISRX ANTIBACTERIAL ENVELOPE

MDR report key: 3350805 · Received May 20, 2013

Report

Report Number
3005619263-2013-00002
Event Type
Other
Date Received
May 20, 2013
Manufacturer
TYRX INC
Product Code
FTL
PMA / PMN Number
063091
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

TYRX BRAND AIGISRX ANTIBACTERIAL ENVELOPES ARE INTENDED TO BE IMPLANTED IN CONJUNCTION WITH A PULSE GENERATOR SUCH AS A PACEMAKER OR ICD. THE INTENDED USE IS TO IMPLANT THE COMPLETE AIGIS DEVICE CONTAINING THE PULSE GENERATOR. TYRX DOES NOT RECOMMEND CUTTING THE ENVELOPE INTO FRAGMENTS PRIOR TO IMPLANTATION. THE DEVICE REPORTED IN THIS INCIDENT WAS CUT INTO 3/4 INCH FRAGMENTS AND THE FRAGMENTS WERE IMPLANTED IN THE TISSUE POCKET, WHICH TYRX CONSIDERS AN OFF-LABEL USE. THIS EVENT WILL BE FOLLOWED-UP AND ADDITIONAL INFO WILL BE SUBMITTED AS IT IS RECEIVED.

Description of Event or Problem · 1

(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
223729 TYRX BRAND AIGISRX ANTIBACTERIAL ENVELOPE AIGISRX ENVELOPE FTL TYRX INC

Patients

Seq Age Sex Outcome Treatment
1 RIFAMPIN 16 MG| MINOCYCLINE 16 MG