FDA Adverse Event Death Summary report: N

TUTOMESH BOVINE PERICARDIUM

MDR report key: 6789100 · Received August 11, 2017

Report

Report Number
3002924436-2017-00011
Event Type
Death
Date Received
August 11, 2017
Report Date
September 28, 2017
Manufacturer
TUTOGEN MEDICAL GMBH
Product Code
FTM
PMA / PMN Number
K081538
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TC
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

METHODS: RTI/TMI WILL CONDUCT A RE-REVIEW OF THE PRODUCT HISTORY FOR TUTOMESH BOVINE PERICARDIUM, PACKAGING PRODUCTION RECORDS, ENVIRONMENTAL MONITORING AND DISTRIBUTION INFORMATION FOR RELATED COMPLAINTS ASSOCIATED WITH THE LOT, ONCE UNIQUE IDENTIFIERS ARE PROVIDED.

Additional Manufacturer Narrative · 1

PRODUCT IDENTIFIERS WERE NOT PROVIDED. THEREFORE, A COMPREHENSIVE RE-REVIEW OF RECORDS COULD NOT BE CONDUCTED. DEGRADATION OF THE PRODUCT WITHIN THIS SHORT PERIOD OF TIME (2 DAYS), COULD ONLY BE CAUSED BY A MASSIVE INFLAMMATORY RESPONSE, WHICH IS EITHER TRIGGERED BY A MASSIVE INFECTION OR THE RESULT OF AN ALLERGIC REACTION TO THE BOVINE PRODUCT.

Description of Event or Problem · 1

RTI SURGICAL, INC (RTI) AND TUTOGEN MEDICAL (B)(4) (TMI), A WHOLLY OWNED SUBSIDIARY OF RTI, RECEIVED A COMPLAINT ON (B)(6) 2017 WHICH INDICATED THAT A PATIENT WAS IMPLANTED WITH A TUTOMESH IMPLANT AS AN ABDOMINAL CLOSER AFTER BOWEL PERFORATION. TWO DAYS LATER, THE SURGEON FOUND OUT THAT THE MESH WAS PARTIALLY DISINTEGRATED. FIVE DAYS AFTER IMPLANTATION, THE PATIENT DIED OF SEPTIC SHOCK. ADDITIONAL INFORMATION HAS BEEN REQUESTED. TO DATE, RTI HAS NOT RECEIVED ANY ADDITIONAL INFORMATION.

Description of Event or Problem · 1

ADDITIONAL INFORMATION WAS PROVIDED ON 09/22/2017. THE PATIENT HAD NOT BEEN TESTED FOR ALLERGY ASSOCIATED WITH BOVINE PRODUCTS. THEREFORE, IT IS UNKNOWN IF THE PATIENT WAS ALLERGIC TO BOVINE PRODUCTS. THE ABDOMINAL WOUND WAS COVERED WITH JELONET SHEET ONE LAYER (UNKNOWN IF AFTER IMPLANTATION OF THE TUTOMESH OR AFTER REMOVAL). BLOOD TESTS FOR INFLAMMATION MARKERS AND MICROBIOLOGICAL ANALYSIS WERE PERFORMED. RESULTS WERE NOT PROVIDED FOR REVIEW. AFTER REMOVAL OF THE TUTOMESH AT AN UNKNOWN DATE, A DYNAMESH (MANUFACTURER UNKNOWN) WAS IMPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
569453 TUTOMESH BOVINE PERICARDIUM SURGICAL MESH FTM TUTOGEN MEDICAL GMBH NOT PROVIDED TO DATE

Patients

Seq Age Sex Outcome Treatment
1 Death| O