FDA Adverse Event Injury Summary report: N

OVITEX REINFORCED BIOSCAFFOLD

MDR report key: 8683048 · Received June 10, 2019

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

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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