FDA Adverse Event Injury Summary report: N

PROLENE POLYPROPYLENE MESH UNKNOWN PRODUCT

MDR report key: 8936329 · Received August 27, 2019

Report

Report Number
2210968-2019-86321
Event Type
Injury
Date Received
August 27, 2019
Report Date
August 1, 2019
Manufacturer
ETHICON INC.
Product Code
FTL
PMA / PMN Number
K962530
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SW
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. THE SINGLE COMPLAINT WAS REPORTED WITH MULTIPLE EVENTS. THERE ARE NO ADDITIONAL DETAILS REGARDING THE ADDITIONAL EVENTS. CITATION: BRITISH JOURNAL OF SURGERY 2005; 92: 1085¿1091; DOI: 10.1002/BJS.5137. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED IN A JOURNAL ARTICLE WITH TITLE: RANDOMIZED CLINICAL TRIAL COMPARING 5-YEAR RECURRENCE RATE AFTER LAPAROSCOPIC VERSUS SHOULDICE REPAIR OF PRIMARY INGUINAL HERNIA. THE AIM OF THIS STUDY WAS TO COMPARE THE 5-YEAR RECURRENCE RATES AFTER SHOULDICE AND LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL PATCH (TAPP) REPAIR FOR PRIMARY INGUINAL HERNIA. BETWEEN FEBRUARY 1993 AND MARCH 1996, 1183 PATIENTS WITH PRIMARY INGUINAL HERNIAS WERE RANDOMIZED INTO TWO GROUPS IN WHICH 920 PATIENTS COMPLETED THE 5 -YEAR FOLLOW UP: IN TAPP GROUP (N=454; MEAN AGE 51.2 YEARS) AND IN SHOULDICE GROUP (N=466; MEAN AGE=52.2). IN THE TAPP OPERATION, THE PERITONEUM WAS OPENED ABOVE THE INTERNAL RING AND THE PREPERITONEAL SPACE WAS ENTERED. AFTER DISSECTION OF THE HERNIA SAC AND PREPARATION OF COOPER¿S LIGAMENT AND THE TRIANGLE OF DOOM, A 7 X 12 CM PROLENE MESH (ETHICON) WAS INSERTED AND STAPLED IN PLACE USING AN ENDOSCOPIC STAPLER (EMS MULTIFEED STAPLEGUN, ETHICON). CARE WAS TAKEN NOT TO USE STAPLES BELOW THE ILIOPUBIC TRACT. THE PERITONEUM WAS STAPLED IN PLACE TO COVER THE MESH COMPLETELY. IN TAPP REPAIR, RECURRENCE (N=30) WAS OBSERVED OF WHICH, THE PATIENTS WERE EITHER REOPERATED OR HAD A POSITIVE HERNIOGRAM. IN THIS RANDOMIZED MULTICENTRE TRIAL THERE WAS NO DIFFERENCE IN THE 5-YEAR RECURRENCE RATE AFTER LAPAROSCOPIC TAPP AND SHOULDICE REPAIRS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
730026 PROLENE POLYPROPYLENE MESH UNKNOWN PRODUCT MESH, SURGICAL, POLYMERIC FTL ETHICON INC.

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention