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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: TEPHA, INC. - 3005670760 GALAFLEX 3DR; BREAST - ABSORBABLE MESH

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TEPHA, INC. - 3005670760 GALAFLEX 3DR; BREAST - ABSORBABLE MESH Back to Search Results
Model Number 100043-06
Medical Device Problem Code Material Split, Cut or Torn (4008)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/21/2026
Type of Reportable Event Malfunction
Event or Problem Description
As reported, on (b)(6) 2026, two pieces of galaflex 3dr scaffold were used by the surgeon.Upon closure, it was observed that the rim had detached from a portion of the mesh on one side.It was further reported that when the mesh was gently folded, the rim nearly detached.A second piece of mesh was opened, and the rim was noted to have detached at several locations; despite this, the surgeon opted to proceed with implantation.Additionally, it was observed that the mesh was less stretchy and felt different.There was no patient harm or injury.
 
Additional Manufacturer Narrative
As reported, the galaflex 3dr scaffold rim was noted to have detached at several locations; despite this, the surgeon opted to proceed with implantation.Additionally, it was observed that the mesh was less stretchy and felt different.Based on the information provided and without having the sample to evaluate, no conclusion can be made.A review of the manufacturing records was performed and found that the lot was manufactured to the specification.To date, this is the only reported complaint for this manufacturing lot of 163 units.Note: section a through f - the information provided by bd represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
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Brand Name
GALAFLEX 3DR
Common Device Name
BREAST - ABSORBABLE MESH
Manufacturer (Section D)
TEPHA, INC. - 3005670760
99 hayden ave suite 360
lexington MA 02421
Manufacturer (Section G)
TEPHA, INC. - 3005670760
99 hayden ave suite 360
lexington MA 02421
Manufacturer Contact
andrew topoulos
100 crossings blvd.
warwick, RI 02886
8005566756
MDR Report Key25447551
Report Number1213643-2026-00734
Device Sequence Number13150704
Product Code OOD
UDI-Device Identifier00810054980056
UDI-Public(01)00810054980056(17)291114(10)LXLQ0021
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
PMA/510(K) Number
K162922
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Reporter Type Manufacturer
Report Source Other,Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 05/29/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model Number100043-06
Device Catalogue NumberFR3D06
Device Lot NumberLXLQ0021
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/23/2026
Initial Report FDA Received Date06/09/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/07/2026
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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