FDA Adverse Event Injury Summary report: N

COBAN 2 LITE LAYER COMPRESSION SYSTEM

MDR report key: 7107295 · Received December 11, 2017

Report

Report Number
2110898-2017-00150
Event Type
Injury
Date Received
December 11, 2017
Date of Event
October 20, 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

Additional Manufacturer Narrative · 1

A 4-6 INFORMATION WAS NOT SUPPLIED BY REPORTER. 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. THREEM 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. CASE 2110898-2017-000146 WAS SENT FOR REPORT RECEIVED ON (B)(6) 2017. ON (B)(6) 2017 MDR REPORT NUMBERS 2110898-2017-00148, 2110898-2017-00149 AND 2110898-2017-00150 WERE SENT BASED ON TREND ANALYSIS. (B)(4). THREEM WILL CONTINUE TO MONITOR COMPLAINTS AND TRENDS FOR THIS TYPE OF REPORT.

Additional Manufacturer Narrative · 1

3M RECEIVED A FORMAL LETTER FROM THE UNIVERSITY (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 UNIVERSITY (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.

Description of Event or Problem · 1

AN INDEPENDENT STUDY INVESTIGATOR REPORTED COBAN 2 LITE LAYER COMPRESSION SYSTEM WAS APPLIED TO A (B)(6) MALE PATIENT FOLLOWING A TOTAL KNEE ARTHROPLASTY. ON POST-OP DAY 2, THE PATIENT COMPLAINED OF KNEE PAIN AND THE WRAP WAS REMOVED FOR FURTHER INVESTIGATION AND TESTS. LATER THE SAME DAY, A DIAGNOSIS OF PULMONARY EMBOLISM WAS CONFIRMED. THE PATIENT REPORTEDLY RECEIVED FULL ANTICOAGULATION TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
882637 COBAN 2 LITE LAYER COMPRESSION SYSTEM COBAN 2 LITE LAYER COMPRESSION SYSTEM FQM 3M HEALTH CARE UNK

Patients

Seq Age Sex Outcome Treatment
1 78 YR Hospitalization| O