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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON INC. ULTRAPRO HERNIA SYSTEM UNKNOWN PRODUCT MESH, SURGICAL, POLYMERIC

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ETHICON INC. ULTRAPRO HERNIA SYSTEM UNKNOWN PRODUCT MESH, SURGICAL, POLYMERIC Back to Search Results
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Hematoma (1884); Pain (1994); Hernia (2240); Post Operative Wound Infection (2446)
Event Date 08/21/2016
Event Type  Injury  
Manufacturer Narrative

(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: j mod med health, january 2017, vol. 33, no. 2; doi: 10. 3969/j. Issn. 1009-5519. 2017. 02. 017 please see article attached. 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.   were the cases discussed in this article previously reported to ethicon?  if yes, please provide a complaint reference number.   does the surgeon believe that ethicon product (prolene mesh and ultrapro hernia system) involved caused and/or contributed to the post-operative complications described in the article?  does the surgeon believe there was any deficiency with the ethicon product involved? event related to prolene polypropylene mesh reported via mw # 2210968-2021-02072.

 
Event Description

It was reported in a journal article with title: contrastive study on common polypropylene mesh and ultrapro hernia system in repair of giant inguinal hernia. The objective of this retrospective study was to compare the merits and disadvantages of common polypropylene mesh and ultrapro hernia system (uhs) in the repair of giant inguinal hernia to provide a basis for selecting the mesh. From january 2007 to february 2016, 78 patients with giant inguinal hernia were included in the study. The patients were divided into two groups: for group a (n=35; mean age 54. 9 ± 10. 4 years), ordinary polypropylene mesh woven with two single strands of polypropylene (ethicon) was used and for group b (n=43; mean age 52. 8 ± 8. 4 years), uhs (ethicon) was used. During the procedure in group a, the lichtenstein hernia repair was performed according to the standard operation method: the ordinary polypropylene mesh was placed in front of the transversalis fascia and behind the spermatic cord, with the lower end 2. 0 cm beyond the pubic tubercle and fixed on the pubic tubercle aponeurosis, the symphysis tendon, the inguinal ligament and the outer edge of the anterior sheath of the rectus abdominis. The spermatic cord was put through a hole made on the upper part of the patch and the inner ring opening was reconstructed. Tightness was appropriate. The aponeurosis of the external abdominal oblique muscle was intermittently sutured, and the outer ring opening was reconstructed. In group b, the head-neck-shoulder technique was used: the transversalis fascia was cut at the neck and shoulder position to enter the preperitoneal space, and two wet thin gauze strips were used to fill and separate the bogros space, with an extent of about 10 cm behind the medial side of the pubic tubercle and the outer edge of the rectus abdominis, the lateral side reaching the common iliac vein, the upper side 3 cm beyond the arcuate lower edge of the transversus abdominis of the internal oblique muscle, and the lower side to the bony pelvic edge below the cooper¿s ligament. Space. The lower patch of the uhs was placed in the preperitoneal space and flattened as possible, to cover the entire myopectineal orifice. The upper patch was placed on the posterior wall of the inguinal canal. Reported complications for group a included postoperative pain duration of 2. 9 ± 1. 1 days (n=?); wound infection (n=1); wound and/or scrotal hematoma (n=3); foreign body sensation or chronic pain (n=9); recurrence (n=5). Reported complications for group b included postoperative pain duration of 3. 0 ± 1. 2 days (n=?); wound infection (n=1); wound and/or scrotal hematoma (n=4); foreign body sensation or chronic pain (n=3); recurrence (n=1). In conclusion, with regard to giant inguinal hernia with weak posterior inguinal wall, obvious transversalis fascia defect and large hernia ring, the authors believe that uhs preperitoneal space repair is particularly suitable, with the advantages of low recurrence rate, and less foreign body sensation and chronic pain, and it is worthy of clinical promotion.

 
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Brand NameULTRAPRO HERNIA SYSTEM UNKNOWN PRODUCT
Type of DeviceMESH, SURGICAL, POLYMERIC
Manufacturer (Section D)
ETHICON INC.
1000 route 202
raritan NJ 08876
Manufacturer (Section G)
ETHICON INC.-GMBH
robert-koch strasse 1
p.o. box 1409
norderstedt D2284 1
GM D22841
Manufacturer Contact
elba bello
1000 route 202
raritan, NJ 08876
9082182213
MDR Report Key11429550
MDR Text Key245132114
Report Number2210968-2021-02073
Device Sequence Number1
Product Code FTL
Combination Product (Y/N)N
Reporter Country CodeCH
PMA/PMN NumberK071249
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type FOREIGN,HEALTH PROFESSIONAL,L
Reporter Occupation
Type of Report Initial,Followup
Report Date 02/05/2021
1 Device Was Involved in the Event
0 PatientS WERE Involved in the Event:
Date FDA Received03/07/2021
Is This An Adverse Event Report? Yes
Is This A Product Problem Report? No
Device Operator HEALTH PROFESSIONAL
Was Device Available For Evaluation? No
Is The Reporter A Health Professional? No
Was the Report Sent to FDA?
Event Location No Information
Date Manufacturer Received03/07/2021
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?
Type of Device Usage Initial

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