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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SOFRADIM PRODUCTION SAS PARIETEX MESH, SURGICAL, POLYMERIC

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SOFRADIM PRODUCTION SAS PARIETEX MESH, SURGICAL, POLYMERIC Back to Search Results
Model Number PCO12X
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Adhesion(s) (1695); Cyst(s) (1800); Erythema (1840); Granuloma (1876); Unspecified Infection (1930); Itching Sensation (1943); Muscle Weakness (1967); Necrosis (1971); Pain (1994); Scar Tissue (2060); Chills (2191); Hernia (2240); Discomfort (2330); Fluid Discharge (2686); Unspecified Tissue Injury (4559); Swelling/ Edema (4577)
Event Type  Injury  
Manufacturer Narrative

If information is provided in the future, a supplemental report will be issued.

 
Event Description

The patient¿s attorney alleged a deficiency against the device. The product was used for laparoscopic therapeutic treatment of a ventral hernia. It was reported that after implant, the patient experienced recurrence, infection, pain, redness, drainage in umbilical area, chills, tenderness, erythema, redness, swelling/warmth, scar tissue, granuloma, weakened fascia, necrosis, cyst, itching, and adhesions. Post-operative patient treatment included revision surgery, hernia repair with new mesh, mesh removal, removal of tacks, omentum take down, drained copious s/s fluid, complex wound closure, wound vac, and antibiotics/pain medication.

 
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Brand NamePARIETEX
Type of DeviceMESH, SURGICAL, POLYMERIC
Manufacturer (Section D)
SOFRADIM PRODUCTION SAS
116 avenue du formans
trevoux 01600
FR 01600
Manufacturer (Section G)
SOFRADIM PRODUCTION SAS
116 avenue du formans
trevoux 01600
FR 01600
Manufacturer Contact
lisa hernandez
60 middletown ave
north haven, CT 06473
2034925563
MDR Report Key10898264
MDR Text Key218190603
Report Number9615742-2020-02664
Device Sequence Number1
Product Code FTL
Combination Product (Y/N)N
Reporter Country CodeUS
PMA/PMN NumberK110815
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type CONSUMER
Reporter Occupation
Type of Report Initial
Report Date 11/24/2020
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received11/24/2020
Is This An Adverse Event Report? Yes
Is This A Product Problem Report? Yes
Device Operator HEALTH PROFESSIONAL
Device MODEL NumberPCO12X
Device Catalogue NumberPCO12X
Device LOT NumberPRI1180X
Was Device Available For Evaluation? No
Is The Reporter A Health Professional?
Was the Report Sent to FDA?
Event Location No Information
Date Manufacturer Received11/04/2020
Was Device Evaluated By Manufacturer? No Answer Provided
Date Device Manufactured10/17/2017
Is The Device Single Use? Yes
Is this a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial

Patient TREATMENT DATA
Date Received: 11/24/2020 Patient Sequence Number: 1
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