FDA Adverse Event Injury Summary report: N

CONTOUR THREAD OR CONTOUR THREADS

MDR report key: 3683110 · Received February 25, 2014

Report

Report Number
2522801-2014-00002
Event Type
Injury
Date Received
February 25, 2014
Date of Event
January 1, 2006
Report Date
February 24, 2014
Manufacturer
SURGICAL SPECIALITIES CORP
Product Code
GAW
PMA / PMN Number
K050548
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE MANUFACTURE DATE AND THE EXPIRATION DATE OF THIS PRODUCT IS UNK. NO ITEM OR LOT INFORMATION WAS AVAILABLE. THE 510(K) NUMBERS FOR CONTOUR THREADS: K041593 - MIDFACE LIFT, K042856 - BROW LIFT, K050247 - NECK LIFT, K050548 - BI-DIRECTIONAL MIDFACE CONTOUR THREAD. PT: LOCAL AND POSSIBLE SYSTEM INFECTION REPORTED. DEVICE: MINOR SPITTING OF THE SUTURE MATERIAL ALONG HAIRLINE / FOREHEAD AND BEHIND EAR WAS REPORTED. METHOD: THE DEVICE WAS NOT RETURNED FOR EVALUATION. FURTHERMORE, THE PRODUCT ITEM AND LOT NUMBER IS UNK. RESULTS/CONCLUSIONS: THE DEVICE WAS NOT RETURNED FOR EVALUATION. THEREFORE, NO PRODUCT EVALUATION CAN BE PERFORMED. ALL CONTOUR THREAD PRODUCT WAS DISCONTINUED IN (B)(4) 2007. SURGICAL SPECIALITIES REFERENCES: COMPLAINT #(B)(4). UNK ITEM NUMBER, UNK LOT NUMBER, CONTOUR THREADS.

Description of Event or Problem · 1

THE DATE OF EVENT IS ESTIMATED. DR. (B)(6), RELATIVE OF THE PT, REPORTED THAT THE PT RECEIVED A FACE LIFT IN 2006 WHERE MULTIPLE CONTOUR THREAD DEVICES WERE UTILIZED. THE PT HAS SINCE EXPERIENCED LOCAL INFECTION AND POSSIBLE SYSTEM INFECTION AT DIFFERENT PERIODS SINCE THE DEVICES WERE IMPLANTED. THE PT HAS ALSO EXPERIENCED MINOR SPITTING OF THE SUTURE MATERIAL ALONG HER HAIRLINE/FOREHEAD AND BEHIND HER EAR. DETAILS REGARDING THE PT'S HEALTH HISTORY AT TIME OF THE SURGERY, INITIAL PROCEDURE, TECHNIQUE OF THE SURGEON AND / OR POST-OPERATIVE INTERVENTION WAS NOT DISCLOSED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
115706 CONTOUR THREAD OR CONTOUR THREADS CONTOUR THREAD OR CONTOUR THREADS GAW SURGICAL SPECIALITIES CORP UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 Other NONE MADE AVAILABLE