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 |