COBAN 2 LITE LAYER COMPRESSION SYSTEM
Report
- Report Number
- 2110898-2017-00149
- Event Type
- Injury
- Date Received
- December 11, 2017
- Date of Event
- June 5, 2017
- Report Date
- March 27, 2018
- Manufacturer
- 3M HEALTH CARE
- Product Code
- FQM
- PMA / PMN Number
- EXEMPT
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER
Narratives
PULMONARY EMBOLISM OCCURS AT A KNOWN RATE POSTOPERATIVELY FOLLOWING JOINT REPLACEMENT SURGERY. WHEN THE REPORT WAS RECEIVED ON (B)(6) 2017, THERE WAS NO EVIDENCE TO SUGGEST THAT THE OCCURRENCE OF THE PULMONARY EMBOLISM WAS RELATED TO THE USE OF 3M COBAN 2 LITE LAYER COMPRESSION SYSTEM POST TOTAL KNEE ARTHROPLASTY. ON (B)(6) 2017 3M RECEIVED THE 4TH REPORT OF A PULMONARY EMBOLISM IN THIS STUDY. 3M CONTACTED THE STUDY INVESTIGATORS TO OBTAIN ADDITIONAL PATIENT DETAILS REGARDING OPERATIVE DURATION, PATIENT COMORBIDITIES AND MEDICAL HISTORY. NO ADDITIONAL INFORMATION HAS BEEN RECEIVED TO DATE. ALTHOUGH THERE WAS STILL NO EVIDENCE TO SUGGEST THAT THE OCCURRENCE OF PULMONARY EMBOLISM WAS RELATED TO THE USE OF 3M COBAN 2 LITE LAYER COMPRESSION SYSTEM POST TOTAL KNEE ARTHROPLASTY, ON (B) (6)2017 3M MADE THE DECISION TO SEND MDR REPORTS FOR ALL FOUR CASES. 2110898-2017-000146 WAS SENT FOR REPORT RECEIVED ON (B)(4) 2017. ON (B)(4) 2017 MDR REPORT NUMBERS 2110898-2017-00148, 2110898-2017-00149 AND 2110898-2017-00150 WERE SENT BASED ON TREND ANALYSIS. H6 CONCLUSION CODE 20 (INCONCLUSIVE- INVESTIGATION IN PROGRESS) WAS USED. THERE WAS NO CONCLUSIVE EVIDENCE THAT THE OCCURRENCE OF A PULMONARY EMBOLISM WAS RELATED TO THE USE OF 3M COBAN 2 LITE LAYER COMPRESSION SYSTEM POST TOTAL KNEE ARTHROPLASTY. 3M WILL CONTINUE TO MONITOR COMPLAINTS AND TRENDS FOR THIS TYPE OF REPORT.
3M RECEIVED A FORMAL LETTER FROM THE (B)(6) REGARDING THEIR INVESTIGATION OF THE FOUR PULMONARY EMBOLISMS THAT OCCURRED WITHIN THE INVESTIGATOR-INITIATED RESEARCH STUDY ENTITLED "THE USE OF 3M¿ COBAN¿ 2 LITE LAYER COMPRESSION SYSTEM POST-TOTAL KNEE ARTHROPLASTY". THE (B)(6) CONSULTED WITH TWO INDEPENDENT CONTENT EXPERTS TO INVESTIGATE THE ETIOLOGY OF THE PULMONARY EMBOLISMS AND TO DETERMINE WHETHER THEY WERE RELATED TO THE STUDY INTERVENTION, I.E., THE 3M¿ COBAN¿ 2 LITE LAYER COMPRESSION SYSTEM. IN BRIEF, THE INDEPENDENT CONTENT EXPERTS REACHED CONSENSUS THAT THE FOUR PES WERE LIKELY UNRELATED TO THE STUDY INTERVENTION 3M¿ COBAN¿ 2 LITE LAYER COMPRESSION SYSTEM. - [3M COBAN STUDY_PE INVESTIGATION LETTER_MAR 21 2018.PDF].
AN INDEPENDENT STUDY INVESTIGATOR REPORTED COBAN 2 LITE LAYER COMPRESSION SYSTEM WAS APPLIED TO A (B)(6) FEMALE PATIENT FOLLOWING A TOTAL KNEE ARTHROPLASTY. A RESEARCH TEAM MEMBER REPORTEDLY DISCOVERED THE PATIENT EXPERIENCED A PULMONARY EMBOLISM ON POST OP DAY FOUR WHEN THEY WERE COMPLETING THE TWO WEEK FOLLOW-UP PHONE INTERVIEW.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 882633 | COBAN 2 LITE LAYER COMPRESSION SYSTEM | COBAN 2 LITE LAYER COMPRESSION SYSTEM | FQM | 3M HEALTH CARE | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 61 YR | Other |