Brand Name | OVITEX REINFORCED TISSUE MATRIX |
Type of Device | SURGICAL MESH |
Manufacturer (Section D) |
AROA BIOSURGERY LTD. |
2 kingsford smith place |
airport oaks, auckland 2022 |
NZ 2022 |
|
Manufacturer (Section G) |
AROA BIOSURGERY LTD. |
2 kingsford smith place |
|
airport oaks, auckland 2022 |
NZ
2022
|
|
Manufacturer Contact |
tina
o'brien
|
2 kingsford smith place |
airport oaks, auckland 2022
|
NZ
2022
|
|
MDR Report Key | 14982716 |
MDR Text Key | 295679342 |
Report Number | 3007321028-2022-00015 |
Device Sequence Number | 1 |
Product Code |
FTM
|
Combination Product (y/n) | N |
Reporter Country Code | NL |
PMA/PMN Number | K181935 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional,Distributor |
Reporter Occupation |
Physician
|
Type of Report
| Initial |
Report Date |
06/14/2022 |
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
|
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
05/18/2022 |
Initial Date FDA Received | 07/11/2022 |
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 |
Unknown
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Hospitalization;
Required Intervention;
|
Patient Sex | Male |