FDA Adverse Event Injury Summary report: N

TIGR MATRIX SURGICAL MESH

MDR report key: 4755217 · Received April 29, 2015

Report

Report Number
3010187263-2015-00003
Event Type
Injury
Date Received
April 29, 2015
Date of Event
April 3, 2015
Report Date
April 28, 2015
Manufacturer
NOVUS SCIENTIFIC AB
Product Code
FTL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT HAS BEEN REPORTED TO NOVUS SCIENTIFIC THAT A PHYSICIAN WHO USED THE DEVICE (TIGR OR TIGR MATRIX SURGICAL MESH) FOR BREAST RECONSTRUCTION FOUND DURING A FOLLOW UP VISIT THAT THE PT HAD DEVELOPED INFECTION AND MESH EXPOSURE. THE PHYSICIAN CLAIMS THAT THE MESH HAD AN ODD APPEARANCE DESCRIBED AS "MUSHY" AND THAT IT HAD NOT INTEGRATED INTO THE TISSUE AS EXPECTED. THE MESH WAS EXPLANTED AND THE PT IS NOW STABLE. NO FURTHER ISSUES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
283427 TIGR MATRIX SURGICAL MESH FTL NOVUS SCIENTIFIC AB NSTM2030 302010614

Patients

Seq Age Sex Outcome Treatment
1 UNK Other