FDA Adverse Event Other Summary report: N

MEDPOR IMPLANT

MDR report key: 715037 · Received May 15, 2006

Report

Report Number
1057129-2006-00007
Event Type
Other
Date Received
May 15, 2006
Report Date
April 11, 2006
Manufacturer
POREX SURGICAL, INC.
Product Code
FWP
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE DOCTOR REPORTED THAT A PT RECEIVED AN IMPLANT SEVERAL MONTHS AGO. THE DOCTOR STATED THAT THE PT DEVELOPED AN INFECTION. THE DOCTOR REPORTED THAT THE IMPLANT WAS REMOVED FOLLOWING POSSIBLE CELLULITIS. THE DOCTOR EXPLAINED THAT THE PROBLEM WAS LIKELY ASSOCIATED WITH COMMUNICATION WITH THE FRONTAL SINUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MEDPOR IMPLANT FACIAL RECONSTRUCTION FWP POREX SURGICAL, INC. NA 0071210804H

Patients

Seq Age Sex Outcome Treatment
1 * Other