FDA Adverse Event Injury Summary report: N

FLOSEAL

MDR report key: 9903197 · Received March 31, 2020

Report

Report Number
1416980-2020-01857
Event Type
Injury
Date Received
March 31, 2020
Report Date
April 30, 2020
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
LMF
PMA / PMN Number
NI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
HK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE STUDY WAS CONDUCTED FROM (B)(6) 2013 TO (B)(6) 2017. LITERATURE ARTICLE: CHUNG JPW, LAW TSM, CHUNG CHS, MAK JSM, SAHOTA DS, LI TC. ¿IMPACT OF HAEMOSTATIC SEALANT VERSUS ELECTROCOAGULATION ON OVARIAN RESERVE AFTER LAPAROSCOPIC OVARIAN CYSTECTOMY OF OVARIAN ENDOMETRIOMAS: A RANDOMISED CONTROLLED TRIAL¿. BJOG 2019; 126:1267¿1275. DOI: 10.1111/1471-0528.15807. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION: THE DEVICE WAS NOT RETURNED, AND THE LOT NUMBER IS UNKNOWN; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED 94 PATIENTS UNDERWENT A FIVE-YEAR STUDY IN WHICH FLOSEAL WAS USED WITH LAPAROSCOPIC OVARIAN CYSTECTOMY OF OVARIAN ENDOMETRIOMAS. TWO PATIENTS EXPERIENCED UNSPECIFIED POST-OPERATIVE INFECTIONS. THE CAUSE OF THE INFECTIONS WAS NOT REPORTED. TREATMENT FOR THE EVENTS WAS NOT REPORTED. THE STUDY REPORTED THE PATIENTS WERE DISCHARGED FROM THE HOSPITAL (NO FURTHER DETAILS). AT THE TIME OF THIS REPORT, THE PATIENT OUTCOMES WERE NOT REPORTED. NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
366461 FLOSEAL AGENT, ABSORBABLE HEMOSTATIC, COLLAGEN BASED LMF BAXTER HEALTHCARE CORPORATION NA NI

Patients

Seq Age Sex Outcome Treatment
1 Other