FDA Adverse Event Injury Summary report: N

PDS II POLYDIOXANONE SUTURE UNKNOWN PRODUCT

MDR report key: 7396673 · Received April 4, 2018

Report

Report Number
2210968-2018-71881
Event Type
Injury
Date Received
April 4, 2018
Report Date
March 16, 2018
Manufacturer
ETHICON INC.
Product Code
NEW
PMA / PMN Number
N18331
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THIS REPORT IS RELATED TO A JOURNAL ARTICLE, THEREFORE NO PRODUCT WILL BE RETURNED FOR ANALYSIS AND THE BATCH HISTORY RECORDS CANNOT BE REVIEWED AS THE LOT NUMBER HAS NOT BEEN PROVIDED. NO SPECIFIC PATIENT INFORMATION REGARDING EVENTS HAS BEEN PROVIDED. ATTEMPTS ARE BEING MADE TO OBTAIN THE FOLLOWING INFORMATION. IF FURTHER DETAILS ARE RECEIVED AT THE LATER DATE A SUPPLEMENTAL MEDWATCH WILL BE SENT. CITATION: EUROPEAN JOURNAL OF OBSTETRICS AND GYNECOLOGY AND REPRODUCTIVE BIOLOGY 182 (2014) 76¿8080; HTTP://DX.DOI.ORG/10.1016/J.EJOGRB.2014.08.030. (B)(4)

Description of Event or Problem · 1

IT WAS REPORTED VIA JOURNAL ARTICLE: ¿TITLE: SELF-CREATED TRANSOBTURATOR TAPE TREATMENT OF STRESS URINARY INCONTINENCE WITHOUT PRIOR URODYNAMIC INVESTIGATION¿ AUTHORS: IVAN IGNJATOVIC, MILAN POTIC, DRAGOSLAV BASIC, LJUBOMIR DINIC, NINA MEDOJEVIC, DARKO LAKETIC, ALEKSANDAR SKAKIC, AND MARIJA MIHAJLOVIC CITATION: EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY 182 (2014) 76¿8080; HTTP://DX.DOI.ORG/10.1016/J.EJOGRB.2014.08.030 THE AIM OF THIS STUDY WAS TO EVALUATE THE RESULTS OF THE TREATMENT OF STRESS URINARY INCONTINENCE (SUI), DIAGNOSED BASED ON PURE CLINICAL CRITERIA, WITH SELF-CREATED TRANSOBTURATOR TAPES (SCTOT) AND COMPARE THE RESULTS TO TREATMENT WITH INDUSTRIALLY CREATED TENSION FREE TAPE (ICTOT). THE STUDY INCLUDED 67 PATIENTS AGED 38 TO 79 WHO WERE TREATED WITH SCTOT AND COMPARED TO THE RESULTS OF THE SURGERY PERFORMED IN 47 PATIENTS AGED 41 TO 82 WHO WERE TREATED WITH ICTOT AFTER COMPLETE FOLLOW-UP. MONOFILAMENT SUTURES (PDS 2-0) WERE PASSED THROUGH BOTH ENDS OF THE POLYPROPYLENE MESH STRIPE TO MAKE A ¿¿COMPOSITE¿¿ SLING. BOTH ENDS OF THE MONOFILAMENT SUTURES WERE PASSED THROUGH HOLES AT THE END OF THE NEEDLE IN THE VAGINA. SUTURES WERE PULLED OUTSIDE AND THE MIDDLE OF THE SLING WAS TENSION-FREE AND PLACED BELOW THE URETHRA. THE VAGINA WAS SUTURED, AND THE VAGINAL PACK WAS LEFT IN SITU FOR 24 HOURS. POST-OPERATIVE COMPLICATIONS INCLUDED INFECTION (SCTOT N=5; ICTOT N=5), DE NOVO URGENCY (SCTOT N=4; ICTOT N=3), EXTERIORATION OF THE SLING (SCTOT N=1; ICTOT N=2) AND DYSPAREUNIA (SCTOT N=3; ICTOT N=2). ONE PATIENT FROM BOTH GROUPS WAS READMITTED TO THE HOSPITAL DURING THE FOLLOW UP FOR REOPERATION. IN CONCLUSION, SCTOT AFTER CLINICAL DIAGNOSIS OF SUI WAS MORE AFFORDABLE AND DOES NOT PRODUCE INFERIOR RESULTS COMPARED TO THE RESULTS REPORTED FOR INDUSTRIALLY CREATED SLINGS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
239660 PDS II POLYDIOXANONE SUTURE UNKNOWN PRODUCT SUTURE, SURGICAL, ABSORBABLE NEW ETHICON INC. UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention