| 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 | 50743222 |
| Report Number | 1000306051-2026-00074 |
| Device Sequence Number | 21387703 |
| Product Code |
FTM
|
| UDI-Device Identifier | 00818410010294 |
| UDI-Public | (01)00818410010294(17)171231(10)SP100342 |
| Combination Product (Y/N) | N |
| Initial Reporter State | NV |
| Initial Reporter Country | US |
| PMA/510(K) Number | K082176 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2016 |
| Device Explanted Year | 2026 |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/11/2026 |
| 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 Expiration Date | 12/31/2017 |
| Device Catalogue Number | CON3006 |
| Device Lot Number | SP100342 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | 08/21/2026 |
| Initial Report FDA Received Date | 09/11/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 01/29/2016 |
| 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 Age | 55 YR |
| Patient Sex | Female |
| Patient Weight | 140 LB |
| Patient Race | White |
|
|