FDA Adverse Event Injury Summary report: N

CABS'AIR COMPOSITE

MDR report key: 5238698 · Received November 12, 2015

Report

Report Number
9616062-2015-00002
Event Type
Injury
Date Received
November 12, 2015
Date of Event
July 1, 2015
Report Date
October 31, 2015
Manufacturer
COUSIN BIOTECH
Product Code
FTL
PMA / PMN Number
K093196
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SF
Reporter Occupation
1

Narratives

Additional Manufacturer Narrative · 1

SURGEON CONFIRMED ONLY ONE PATIENT IS INVOLVED. DR. (B)(6) IMPLANTED A CABSAIR COMPOSITE DIAMETER 9 CM, AND HE IS FAMILIAR WITH THE SURGICAL TECHNIQUE AND PLACEMENT RECOMMENDATIONS. HE DID PLACE THE 4 RECOMMENDED SUTURES TO FIX THE DEVICE. THREE MONTHS AFTER THE IMPLANTATION OF THE DEVICE, THE PATIENT PRESENTED PAIN AROUND THE IMPLANT. DR (B)(6) DECIDED TO REOPERATE HIM. DURING THIS SECOND SURGERY, THE SURGEON FOUND SOME SOFT ADHESIONS THAT WERE EASY TO LIBERATE. THE IMPLANT WAS EXPLANTED AND THE DEFECT WAS CLOSED WITH SUTURES. REGARDING PATIENT'S SURGICAL HISTORY, DR (B)(6) EXPLAINED THAT THE PATIENT WAS VERY THIN (BMI 19) BUT MAINLY, HE HAD SURGERY FOR A COLONIC PERFORATION. DR (B)(6) AGREED THAT AN INTRAPERITONEAL DEVICE WAS PERHAPS NOT THE BEST SURGICAL CHOICE FOR THIS PATIENT AS IT IS KNOWN THAT PATIENTS WHO HAD BOWEL SURGERY ARE MORE LIKELY TO DEVELOP ADHESIONS. FROM THIS FIRST PHONE CALL WITH DR (B)(6), WE CAN ESTIMATE THAT THIS CASE OF SOFT ADHESIONS TO THE CABSAIR COMPOSITE DEVICE REMAINS A KNOWN COMPLICATION THAT IS WELL DESCRIBED IN THE LITERATURE REGARDING INTRAPERITONEAL MESHES. THE PATIENT WAS ALSO MORE SUSPECTABLE TO DEVELOP ADHESIONS BECAUSE OF HIS SURGICAL HISTORY.

Description of Event or Problem · 1

THIS EVENT HAS BEEN REPORTED TO COUSIN BIOTECH BY A (B)(6) DISTRIBUTOR. THE PATIENT UNDERWENT REPAIR OF A HERNIA WITH AN IMPLANT. AFTER A CERTAIN PERIOD OF TIME, THE PATIENT PRESENTED BOWEL ADHESIONS. THE PATIENT UNDERWENT AN ADDITIONAL SURGERY FOR THE REMOVAL OF CABSAIR COMPOSITE MESH. TODAY THE PATIENT IS FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
751556 CABS'AIR COMPOSITE CABS'AIR COMPOSITE FTL COUSIN BIOTECH CABSAIRC09 UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention