Model Number PHSL |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problems
Fistula (1862); Pain (1994); Hernia (2240)
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Event Type
Injury
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Manufacturer Narrative
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To date, the device has not been returned.If the product is returned for evaluation, any further information derived from the evaluation will be submitted in a supplemental 3500a form.(b)(4) submitted for adverse event which occurred on (b)(6) 2018.(b)(4) submitted for adverse event which occurred on (b)(6) 2019.
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Event Description
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It was reported by an attorney that the patient underwent hernia repair surgery on (b)(6) 2012 and mesh was implanted.It was reported that the patient underwent partial removal surgery, lower anterior resection, laparoscopic splenic flexure mobilization and intraabdominal abscess drainage on (b)(6) 2018 during which the surgeon noted the pathology revealed that the abdominal mesh had acute and chronic inflammation and granulation tissue.It was reported that the patient underwent removal surgery on (b)(6) 2019 during which the surgeon noted there was a significant amount of granulation tissue as well as purulent drainage from the area.He also noted a fistula from the colon to the left inguinal hernia.It was reported that the patient experienced severe pain.No additional information was provided.
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Manufacturer Narrative
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Date sent to the fda: 1/5/2021.A review of the batch manufacturing records was conducted and the batch met all finished goods release criteria.
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Manufacturer Narrative
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Date sent to the fda: 6/17/2024.Additional information: a2, d3.This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information 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.
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Search Alerts/Recalls
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