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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ACELL, INC. GENTRIX SURGICAL MATRIX DEVICE; MESH, SURGICAL

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ACELL, INC. GENTRIX SURGICAL MATRIX DEVICE; MESH, SURGICAL Back to Search Results
Device Problems Material Disintegration (1177); Therapeutic or Diagnostic Output Failure (3023)
Patient Problem Failure of Implant (1924)
Event Date 06/01/2021
Event Type  Injury  
Event Description
I was diagnosed with inguinal hernia, right side.On (b)(6) 2021 i had surgery to insert a biological mesh - gentrix surgical mesh device engineered with matristem by acell.The mesh failed completely, worsening my hernia condition, and requiring a second surgery in (b)(6) 2021.The surgeon reported the biological mesh had completely dissolved, as if it was never there before.The surgeon reported the product failure to the manufacturer and has discontinued using this device.Fda safety report id# (b)(4).
 
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Brand Name
GENTRIX SURGICAL MATRIX DEVICE
Type of Device
MESH, SURGICAL
Manufacturer (Section D)
ACELL, INC.
MDR Report Key12682166
MDR Text Key278219404
Report NumberMW5104878
Device Sequence Number1
Product Code FTM
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 10/20/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/21/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Was Device Available for Evaluation? No
Was Device Evaluated by Manufacturer? No Information
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Hospitalization;
Patient Age60 YR
Patient Weight86
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