As reported, during a procedure when the surgeon inserted the ventralight st w/echo 2 ps into the patient's abdomen through a trocar (size is unknown), the positioning system came apart from the mesh.It was reported that the mesh and positioning system was removed from the patient body.The surgeon used another ventralight st w/echo 2 to complete the procedure.There was no reported patient injury.
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Based on the information available, no conclusions can be made.The subject device has been discarded as such is not available for evaluation.As reported, the echo 2 positioning system came apart from the ventralight st mesh when inserting down the trocar.The trocar size used during the procedure was unknown by the complainant.The instructions-for-use (ifu) recommends the use of a 10mm trocar size for the product code used.Per the ifu: "hold the tightly rolled frame and grasp the leading edge of the device with an atraumatic grasper or grasping tool.Take care to grasp both mesh and frame material at approximately a 45-degree angle.A black line indicates the suggested location to grasp the mesh.With the grasper, insert the leading edge of the rolled device into the trocar or incision site.Do not let the rolled mesh bend as it is inserted into the trocar.In one continuous movement, deploy the device into the abdomen.Maintain visualization of the device via laparoscope, as it is deployed into the abdomen." review of manufacturing records confirms product was manufactured to specification.To date, this is the only reported complaint for this manufacturing lot of (b)(4) units released for distribution in september 2022.
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