FDA Adverse Event Injury Summary report: N

MW5073661

MDR report key: 7074808 · Received November 30, 2017

Report

Report Number
MW5073661
Event Type
Injury
Date Received
November 30, 2017
Date of Event
October 4, 2017
Report Date
November 17, 2017
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
DE, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PATIENT HAD A RIGHT CAROTID ENDARTERECTOMY ON (B)(6) 2017. PATIENT SEEN AT ON (B)(6) 2017 C/O PURULENT DRAINAGE, SWELLING, AND PAIN FROM INCISION. PATIENT WAS MADE A DIRECT ADMIT AND TAKEN BACK TO THE OPERATING ROOM ON (B)(6) 2017 FOR WOUND IRRIGATION AND DRAINAGE OF A SUPERFICIAL ABSCESS OF THE RIGHT NECK WOUND. PATIENT QUALIFIES FOR A DEEP INCISIONAL SSI RIGHT ELECTIVE CEA WITH PATCH ANGIOPLASTY. TWO DAYS POST OPERATION RIGHT NECK PAIN, DISCOMFORT, SWELLING, REDNESS. SWELLING, DRAINAGE FROM INCISION, DIZZINESS, PAIN AT SITE; YELLOW DRAINAGE. XENOSURE PATCH LOT XBU2288, EXP 11/28/2022, PREP FLUID 0.9 PERCENT, NSS LOT G130039 PER INTRAOPERATIVE RECORD.

Patients

Seq Age Sex Outcome Treatment
1 73 YR Other| R