FDA Adverse Event
Death
Summary report: N
PROLITE ULTRA
MDR report key: 7455764
·
Received April 24, 2018
Report
- Report Number
- 3011175548-2018-00392
- Event Type
- Death
- Date Received
- April 24, 2018
- Report Date
- April 24, 2018
- Manufacturer
- ATRIUM MEDICAL
- Product Code
- FTL
- PMA / PMN Number
- K930669
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NO
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
A COMPLETE INVESTIGATION WAS NOT ABLE TO BE PERFORMED AS NO PRODUCT NUMBER, LOT NUMBER OR SAMPLE WAS PROVIDED. PER THE ARTICLE THE RETROMUSCULAR INSERTION OF SYNTHETIC MESH AT THE TIME OF FORMATION OF AN END-COLOSTOMY REDUCED THE RISK OF PSH.
Description of Event or Problem · 1
ARTICLE RECEIVED TITLED "PROPHYLACTIC MESH AT END COLOSTOMY CONSTRUCTION REDUCES PARASTOMAL HERNIA RATE: A RANDOMIZED TRIAL". THE ARTICLE COMPARED THE RESULTS OF USING MESH OR NO MESH AT THE TIME OF FORMATION OF A COLOSTOMY WITH THE CLINICAL IDENTIFICATION OF PSH AS THE PRIMARY OUTCOME. PER THE STUDY 2 DEATHS IN OCCURRED IN THE THREE YEAR FOLLOW UP PERIOD.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 298511 | PROLITE ULTRA | MESH, SURGICAL, POLYMERIC | FTL | ATRIUM MEDICAL |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Death |