FDA Adverse Event Injury Summary report: N

STRATTICE

MDR report key: 5917307 · Received August 28, 2016

Report

Report Number
MW5064450
Event Type
Injury
Date Received
August 28, 2016
Date of Event
March 9, 2016
Report Date
August 28, 2016
Manufacturer
LIFECELL CORPORATION
Product Code
FTM
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

AFTER FAT GRAFT TRANSFER TO MY BREAST, AN 8X8 PIECE OF STRATTICE WAS CUT AND LAYERED IN MY BREAST AFTER THE SURGEON MADE AN INCISION ABOVE THE PARI AREOLA. SURGERY WAS (B)(6) 2014. BLEEDING STARTED IN (B)(6) 2016 (18 MONTHS AFTER THE SURGERY). WAS MY DR DOING AN OFF LABEL PROCEDURE? NO ONE DOES THIS PROCEDURE OR KNOWS ANYTHING ABOUT IT. NO LITERATURE ON IT ANYWHERE. DR WALD, MY SURGEON, IS STUNNED AND DOESN'T KNOW WHAT TO DO. HE SAID HE CONSULTED WITH LIFECELL. LIFECELL SAID IT IS NOT THE STRATTICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
561294 STRATTICE STRATTICE FTM LIFECELL CORPORATION SP100051-474

Patients

Seq Age Sex Outcome Treatment
1 59 YR Other