OVITEX REINFORCED BIOSCAFFOLD
Report
- Report Number
- 3007321028-2019-00006
- Event Type
- Injury
- Date Received
- June 10, 2019
- Date of Event
- May 15, 2019
- Report Date
- June 10, 2019
- Manufacturer
- AROA BIOSURGERY
- Product Code
- FTM
- UDI-DI
- 09421904065192
- PMA / PMN Number
- K153632
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- PHYSICIAN
Narratives
DESPITE REPEATED REQUESTS, NO FURTHER DETAILS ON THE CAUSE, LOCATION, OR CONTENT OF THE ABSCESS WERE OBTAINED, NOR ANY FURTHER INFORMATION REGARDING THE FINDINGS DURING THE SECOND SURGERY. ABSENT FURTHER INFORMATION, NO CONCLUSIONS CAN BE DRAWN. BASED ON DOCUMENTED EXPERIENCE WITH POST-OPERATIVE INFECTIONS IT IS UNLIKELY THAT THE ABSCESS CAUSED THE PARTIAL DIGESTION OF THE IMPLANT. A DHR REVIEW WAS COMPLETED AND NO NON-CONFORMANCES OR ANOMALIES WERE FOUND THAT MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT. TELA BIO (IMPORTER) IS SUBMITTING THIS REPORT ON BEHALF OF AROA BIOSURGERY (MANUFACTURER) VIA EXEMPTION NUMBER E2017045.
A VENTRAL HERNIA REPAIR WAS PERFORMED WITH OVITEX 2S P ON (B)(6) 2019. IT WAS REPORTED THAT THE PATIENT DEVELOPED AN ABSCESS A FEW WEEKS AFTER SURGERY WHICH DID NOT RESOLVE WITH PERCUTANEOUS DRAINS. THE PATIENT UNDERWENT A SECOND SURGERY ON APPROXIMATELY (B)(6) 2019 IN WHICH THE IMPLANT WAS FOUND PARTIALLY DIGESTED. THE SURGEON REMOVED THE IMPLANT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 476345 | OVITEX REINFORCED BIOSCAFFOLD | SURGICAL MESH | FTM | AROA BIOSURGERY | ERT-8A07 | 09421904065192 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| O |