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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRATTICE RECONSTRUCTIVE TISSUE MATRIX, 30 X 30CM, FIRM; MESH, SURGICAL

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STRATTICE RECONSTRUCTIVE TISSUE MATRIX, 30 X 30CM, FIRM; MESH, SURGICAL Back to Search Results
Catalog Number 3030002
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Hernia (2240); Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Date 01/29/2021
Event Type  Injury  
Manufacturer Narrative
This legal event is being reported as serious injury due to the reported recurrence and failure to integrate with surgical intervention.Internal investigation into strattice lot sp100503 included a review of the reported information, review of the device history records, and a review of the complaint history records.The investigation resulted in no remarkable findings, including no other complaints reported against the lot and no deviations or related non-conformances revealed during processing.The lot was terminally sterilized within the process parameters and met all qc release criteria.As of (b)(6) 2022, of the 235 devices released to finished goods for lot sp100503, 229 have been distributed with 131 reported as implanted.Based on our internal investigation with no remarkable findings, and without relevant patient factors, a relationship between the strattice and this event could not be determined.Due to the legal process, if additional information is made available during legal proceedings, a supplemental report will be submitted.
 
Event Description
It was reported through a legal event that a 69 year old female patient had hernia repair surgery on or about (b)(6) 2017.During the hernia repair surgery, the surgeon implanted a strattice mesh; catalog number is 3030002 and lot number is sp100503-242.After surgery, the patient returned to the hospital on or about (b)(6) 2021, reporting sharp and cutting pain, nausea, and having to consistently wear abdominal binders.On or about (b)(6) 2021, the patient was diagnosed with abdominal pain and a recurrent hernia and underwent an exploratory laparotomy, excision of old mesh and abdomen closure.Upon surgical dissection, the surgeon noted failure of the mesh to incorporate into the tissue.The mesh was found adhered to a few spots in the left upper abdomen.The mesh was folded multiple times and wrinkled close to the area where she was experiencing severe pain.
 
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Brand Name
STRATTICE RECONSTRUCTIVE TISSUE MATRIX, 30 X 30CM, FIRM
Type of Device
MESH, SURGICAL
Manufacturer Contact
christopher belle
1 millennium way
branchburg, NJ 08876
9089471470
MDR Report Key15158083
MDR Text Key297210840
Report Number1000306051-2022-00126
Device Sequence Number1
Product Code FTM
UDI-Device Identifier00818410011796
UDI-Public00818410011796
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K070560
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Company Representative
Reporter Occupation Other
Type of Report Initial
Report Date 08/03/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/03/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Expiration Date01/31/2019
Device Catalogue Number3030002
Device Lot NumberSP100503
Was Device Available for Evaluation? No
Date Manufacturer Received07/08/2022
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 Initial
Patient Sequence Number1
Treatment
NO INFORMATION
Patient Outcome(s) Required Intervention;
Patient SexFemale
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