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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON INC. SURGICEL ABSORBABLE HEMOSTAT UNKNOWN; AGENT, ABSORBABLE HEMOSTATIC, NON-COLLAGEN BASED

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ETHICON INC. SURGICEL ABSORBABLE HEMOSTAT UNKNOWN; AGENT, ABSORBABLE HEMOSTATIC, NON-COLLAGEN BASED Back to Search Results
Catalog Number SURGICELUNK
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Wound Dehiscence (1154); Pain (1994); Swelling/ Edema (4577)
Event Date 12/23/2022
Event Type  Injury  
Manufacturer Narrative
Product complaint # (b)(4).It was reported via a journal article: h6.Component code: g07002 - device not returned.This report is related to a journal article, therefore no product will be returned for analysis and the manufacturing record evaluation cannot be reviewed as the lot number has not been provided.Attempts are being made to obtain the following information.To date no response has been provided.If further details are received at a later date a supplemental medwatch will be sent.1.Were the cases discussed in this article previously reported to ethicon? if yes, please provide a complaint reference number(s).2.Does the surgeon believe that ethicon products involved caused and/or contributed to the post-operative patient consequences described in the article? 3.Does the surgeon believe there was any deficiency with the ethicon products used in this procedure? 4.Was there any medical or surgical intervention performed (product removed; re-operation; re-closure; prescription steroids; antibiotics prescribed)? if so, please clarify.5.Can specific patient demographics: initials; age or date of birth; bmi; gender; patient pre-existing medical conditions (i.E.Allergies, history of reactions), all concomitant medications, past medical history, any treatment required for events, dose, frequency, and therapy dates of study drugs be provided? citation: j.Oral maxillofac.Surg.2023; 52: 860¿868 https://doi.Org/10.1016/j.Ijom.2022.11.016 event related to mw # 2210968-2023-08106, mw # 2210968-2023-08107.This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by ethicon, or its employees that the report constitutes an admission that the product, ethicon, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
 
Event Description
It was reported via a journal article: title: influence of a resorbable collagen membrane for alveolar bone graft on clinical outcomes and ridge volume stability in cleft alveolus authors: t.Singkhorn, p.Pripatnanont, t.Nuntanaranont, d.Supakanjanakanti, w.Ritthagol citation: int.J.Oral maxillofac.Surg.2023; 52: 860¿868.Https://doi.Org/10.1016/j.Ijom.2022.11.016 the objective of this study is to compare the clinical outcomes, graft quality, and graft quantity after alveolar bone grafting with and without a resorbable collagen membrane.A total of 22 patients aged between 8 and 21 years.12 females and 8 males.Two patients, one from each group, were lost to follow-up due to the covid-19 pandemic.Twenty patients (10 in each group) were followed up for at least 6 months postoperatively.There was no case of infection after the operation, but wound dehiscence was observed in two cases, one in each group.The mb/membrane group patients reported significantly less postoperative pain than the st/standard group patients.The mb group showed a tendency for less swelling than the st group.Surgicel (ethicon, somerville, nj, usa) was used for hemostasis.The pedicle was closed with 2¿0 vicryl sutures and the wound was closed layer by layer using deep dermal 4¿0 vicryl (ethicon, raritan, nj, usa), subcuticular 4¿0 monocryl (ethicon), and steri-strips (3 m, saint paul, mn, usa) reported complications included wound dehiscence (n=2), postoperative pain (n=?), facial swelling (n=?).In conclusion, the collagen membrane facilitated predictable clinical outcomes in bone maturation, bone volume preservation, and bone bridging in the alveolar bone graft.
 
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Brand Name
SURGICEL ABSORBABLE HEMOSTAT UNKNOWN
Type of Device
AGENT, ABSORBABLE HEMOSTATIC, NON-COLLAGEN BASED
Manufacturer (Section D)
ETHICON INC.
1000 route 202
raritan NJ 08869
Manufacturer (Section G)
ETHICON INC.-SAN LORENZO PR
road 183, km 8.3
san lorenzo PR 00754
*   00754
Manufacturer Contact
elba bello
1000 route 202
raritan, NJ 08869
9083863534
MDR Report Key17987058
MDR Text Key326295762
Report Number2210968-2023-08104
Device Sequence Number1
Product Code LMG
Combination Product (y/n)N
Reporter Country CodeTH
PMA/PMN Number
N12159
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Literature,Health Professional
Reporter Occupation Other
Type of Report Initial
Report Date 10/23/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue NumberSURGICELUNK
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 10/09/2023
Initial Date FDA Received10/23/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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