FDA Adverse Event Injury Summary report: N

MERSILENE TAPE UNKNOWN PRODUCT

MDR report key: 8119584 · Received November 30, 2018

Report

Report Number
2210968-2018-77423
Event Type
Injury
Date Received
November 30, 2018
Report Date
November 12, 2018
Manufacturer
ETHICON INC.
Product Code
KDC
PMA / PMN Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
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. CITATION: JOURNAL OF PERINATOLOGY (2009) 29, 276¿279; DOI:10.1038/JP.2008.221 (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED VIA JOURNAL ARTICLE: "TITLE : PREGNANCY OUTCOME AFTER PLACEMENT OF ¿RESCUE¿ SHIRODKAR CERCLAGE" AUTHOR : G VENTOLINI, TJ GENRICH, J ROTH AND R NEIGER CITATION: JOURNAL OF PERINATOLOGY (2009) 29, 276¿279; DOI:10.1038/JP.2008.221 THE PURPOSE OF THIS RETROSPECTIVE COHORT STUDY WAS TO EVALUATE THE PREGNANCY OUTCOME OF WOMEN WHO PRESENTED WITH ADVANCED MID-TRIMESTER CERVICAL DILATION AND BULGING AMNIOTIC MEMBRANES WHO ELECTED TO UNDERGO PLACEMENT OF SHIRODKAR CERVICAL CERCLAGE COMPARED WITH A SMALL GROUP OF PATIENTS WHO OPTED FOR EXPECTANT MANAGEMENT. BETWEEN 2JAN2003 AND 31DEC2005, 56 FEMALE PATIENTS (AVERAGE MATERNAL AGE OF 26.4±8.3 YEARS) WITH LATE MID-TRIMESTER CERVICAL DILATATION WHO UNDERWENT PLACEMENT OF SHIRODKAR CERCLAGE. IN THE CERCLAGE PROCEDURE, A 5MM MERSILENE TAPE WAS USED. FOLLOWING THE PLACEMENT OF THE CERCLAGE, 8 PATIENTS EXPERIENCED PREMATURE RUPTURE OF MEMBRANES AND ONE OF THEM OCCURRED DURING THE CERCLAGE PROCEDURE. ANOTHER PATIENT EXPERIENCED EXCESSIVE BLEEDING DURING PLACEMENT OF CERCLAGE WHICH REQUIRED SUTURING OF THE CERVIX. FURTHERMORE, ONE PATIENT DEVELOPED SEPSIS WHICH REQUIRED ADMISSION TO INTENSIVE CARE UNIT AND EXPERIENCED FETAL DEMISE AT (B)(6) GESTATION. THE AUTHORS SUGGESTED THAT THERE WAS NO CORRELATION BETWEEN THE LENGTH OF THE CERVIX BELOW THE LEVEL OF CERCLAGE AND GESTATIONAL AGE AT DELIVERY. WHEN PREGNANCIES ARE COMPLICATED BY LATE MID-TRIMESTER CERVICAL DILATION, PLACEMENT OF SHIRODKAR CERCLAGE IN APPROPRIATELY SELECTED PATIENTS HAS THE POTENTIAL TO BE A BENEFICIAL THERAPEUTIC OPTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
960782 MERSILENE TAPE UNKNOWN PRODUCT INSTRUMENT, SURGICAL, DISPOSABLE KDC ETHICON INC. UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention