FDA Adverse Event Other Summary report: N

PERMACOL

MDR report key: 648739 · Received November 30, 2005

Report

Report Number
9617613-2005-00035
Event Type
Other
Date Received
November 30, 2005
Report Date
November 29, 2005
Manufacturer
TISSUE SCIENCE LABORATORIES, PLC
Product Code
FTL
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE PT HAD A HERNIA REPAIR IN 2004 AND PERMACOL WAS IMPLANTED. DURING THE INITIAL PROCEDURE, THE SKIN WAS DISSECTED TO DEMONSTRATE THE HERNIA AND IT WAS ESTABLISHED THAT THE MUSCLE/FASCIA WAS TOO WEAK TO BE BROUGHT TO THE MIDLINE. PERMACOL WAS PLACED IN THE WOUND AND SUTURED TO THE EDGES BEHIND THE FASCIAL DEFECT. A YEAR AFTER THE REPAIR THE HERNIA BEGAN TO BULGE. THIS BECAME PROGRESSIVELY WORSE AND THE PT HAD A SECOND PROCEDURE TO REPAIR THE RECURRENT HERNIA IN 2005.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PERMACOL PORCINE DERMAL IMPLANT FTL TISSUE SCIENCE LABORATORIES, PLC NA NA

Patients

Seq Age Sex Outcome Treatment
1 62 YR Other