| Brand Name | Large Curved Shape for Strattice, BPS (Contour3) |
| Common Device Name | Mesh, Surgical |
| Manufacturer (Section D) |
| LifeCell |
| one millennium way |
| branchburg NJ 08876 |
|
| Manufacturer (Section G) |
| LifeCell |
| one millennium way |
|
| branchburg NJ 08876 |
|
| Manufacturer Contact |
|
terry
ingram
|
| 1 millennium way |
| branchburg, NJ 08876
|
|
+1(847)936-6324
|
|
| MDR Report Key | 50521461 |
| Report Number | 1000306051-2026-00070 |
| Device Sequence Number | 21510168 |
| Product Code |
FTM
|
| UDI-Device Identifier | 00818410010294 |
| UDI-Public | (01)00818410010294(17)270430(10)SP300249 |
| Combination Product (Y/N) | N |
| Initial Reporter State | TX |
| Initial Reporter Country | US |
| PMA/510(K) Number | K082176 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2026 |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/31/2026 |
| 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
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | CON3006 |
| Device Lot Number | SP300249 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | 08/06/2026 |
| Initial Report FDA Received Date | 08/31/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 06/23/2025 |
| 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 Number | 1 |
| Outcome Attributed to Adverse Event |
Required Intervention;
|
| Patient Sex | Female |
|
|