FDA Adverse Event Injury Summary report: N

PROCEED VENTRAL PATCH UNKNOWN PRODUCT

MDR report key: 8801052 · Received July 17, 2019

Report

Report Number
2210968-2019-84433
Event Type
Injury
Date Received
July 17, 2019
Report Date
June 17, 2019
Manufacturer
ETHICON INC.
Product Code
FTL
PMA / PMN Number
K061533
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT COMPLAINT # (B)(4). TO DATE NO RESPONSE HAS BEEN PROVIDED. IF FURTHER DETAILS ARE RECEIVED AT A LATER DATE A SUPPLEMENTAL MEDWATCH WILL BE SENT. THE SINGLE COMPLAINT WAS REPORTED WITH MULTIPLE EVENTS. THERE ARE NO ADDITIONAL DETAILS REGARDING THE ADDITIONAL EVENTS. CITATION: HERNIA (2011) 15:463¿468; DOI 10.1007/S10029-010-0692-X. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED IN A JOURNAL ARTICLE WITH TITLE: COMPLICATIONS OF MESH DEVICES FOR INTRAPERITONEAL UMBILICAL HERNIA REPAIR: A WORD OF CAUTION. THIS STUDY AIMED TO PRESENT THREE CASES OF LATE COMPLICATIONS OBSERVED IN PATIENTS WHERE A DUAL LAYER MESH DEVICE WAS USED TO REPAIR AN UMBILICAL HERNIA. A (B)(6) YEAR OLD FEMALE PATIENT WITH SMALL UMBILICAL HERNIA UNDERWENT REPAIR USING PROCEED VENTRAL PATCH (PVP) WITH A DIAMETER OF 6.4 CM. THE MESH WAS PLACED IN THE INTRAPERITONEAL POSITION AS PRE-PERITONEAL PLANE WAS NOT POSSIBLE DUE TO SCARRING AROUND UMBILICUS. AFTER 5 MONTHS, THIS PATIENT HAD RECURRENCE OF HER UMBILICAL HERNIA AND ALSO DEVELOPED SECOND HERNIA AT EPIGASTRIC TROCAR SITE OF THE CHOLECYSTECTOMY. DURING LAPAROSCOPY, SOME OMENTAL ADHESIONS WERE PRESENT AT THE UMBILICUS, COVERING MESH. ON BOTH SIDES OF THE MESH, A RECURRENT JUXTA-UMBILICAL HERNIA WAS PRESENT. AFTER THE RELEASE OF THE OMENTAL ADHESIONS, THE MESH WAS FOUND TO HAVE SHRUNK AND FOLDED UP, TO A DIMENSION OF APPROXIMATELY 3.0 CM IN DIAMETER. THE MESH WAS REMOVED AND THE HERNIAS WERE EVALUATED. BOTH HERNIAS WERE REPAIRED USING AN EPTFE MESH (DUALMESH) OF 30CMX18CM, FIXED TO THE ABDOMINAL WALL WITH SPIRAL TACKERS (PROTACK) IN A DOUBLE CROWN CONFIGURATION. MESH DEVICES SHOULD BE USED TO REPAIR SMALL VENTRAL HERNIAS ONLY WHEN PATIENTS ARE ENTERED IN A PROSPECTIVE REGISTRY AND FOLLOW UP PROGRAM OR IN CLINICAL TRIALS, AT LEAST UNTIL STUDIES ARE PUBLISHED WITH A SUFFICIENT SAMPLE OF PATIENTS, AN ACCEPTABLE FOLLOW UP TIME, AND FAVOURABLE OUTCOMES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
594067 PROCEED VENTRAL PATCH UNKNOWN PRODUCT MESH, SURGICAL, POLYMERIC FTL ETHICON INC.

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention