MAUDE Adverse Event Report: SOFRADIM PRODUCTION SAS PARIETEX; MESH, SURGICAL, POLYMERIC

Model Number UNKNOWN PARIETEX

Device Problems Adverse Event Without Identified Device or Use Problem (2993); Patient Device Interaction Problem (4001)

Patient Problems Abdominal Pain (1685); Adhesion(s) (1695); Erosion (1750); Hemorrhage/Bleeding (1888); Unspecified Infection (1930); Inflammation (1932); Ischemia (1942); Pain (1994); Perforation (2001); Seroma (2069); Vomiting (2144); Hernia (2240); Injury (2348); Obstruction/Occlusion (2422); Respiratory Failure (2484); Ascites (2596); Blood Loss (2597); Abdominal Distention (2601); No Code Available (3191); Unspecified Tissue Injury (4559); Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)

Event Type  Injury  

Manufacturer Narrative

If information is provided in the future, a supplemental report will be issued.

Event Description

The patient¿s attorney alleged a deficiency against the device.The product was used for therapeutic treatment of an incisional hernia.It was reported that after implant, the patient experienced recurrence, loop of small bowel adherent to hernia sac, omentum densely adhered in the pelvis, bloody ascites, and small bowel obstruction.Post-operative patient treatment included placement of new mesh for complex ventral repair, exploratory laparotomy with small bowel resection, placement of open abdomen wound vac, reopening of recent laparotomy with small bowel resection, closure of abdomen, wound vac dressing change, regions of prior mesh excised, numerous interloop adhesions cut, small intestines dilated and fluid-filled, and extensive lysis of adhesions.

Event Description

The patient¿s attorney alleged a deficiency against the device.The product was used for laparoscopic therapeutic treatment of an incisional hernia.It was reported that after implant, the patient experienced recurrence, loop of small bowel adherent to hernia sac, omentum densely adhered in the pelvis, bloody ascites, small bowel obstruction, pneumatosis and air in the portal venous system, abdominal pain, coffee ground emesis, intestinal ischemia, distention, and chronic inflammatory fluid pockets around mesh.Post-operative patient treatment included placement of new mesh for complex ventral repair, exploratory laparotomy with small bowel resection, placement of open abdomen wound vac, reopening of recent laparotomy with small bowel resection, closure of abdomen, wound vac dressing change, regions of prior mesh excised, numerous interloop adhesions cut, small intestines dilated and fluid-filled, and extensive lysis of adhesions.

Manufacturer Narrative

This information was received as a part of an extensive mesh litigation submission to medtronic.The fda was notified of this large complaint receipt.Due to the volume of complaint information received by medtronic, this resulted in a report beyond the 30 day target.Additional information: patient code-c64343(pneumatosis and air in the portal venous system, emesis, fluid pockets around mesh).Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.

Manufacturer Narrative

This information was received as a part of an extensive mesh litigation submission to medtronic.The fda was notified of this large complaint receipt.Due to the volume of complaint information received by medtronic, this resulted in a report beyond the 30 day target.Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.If information is provided in the future, a supplemental report will be issued.

Manufacturer Narrative

Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.

Event Description

The patient¿s attorney alleged a deficiency against the device.The product was used for laparoscopic therapeutic treatment of an incisional hernia.It was reported that after implant, the patient experienced infection, pain, recurrence, adhesions, bloody ascites, small bowel obstruction, pneumatosis and air in the portal venous system, abdominal pain, coffee ground emesis, intestinal ischemia, distention, and chronic inflammatory fluid pockets around mesh.Post-operative patient treatment included resuscitation, icu critical condition, placement of new mesh for complex ventral repair, exploratory laparotomy with small bowel resection, placement of open abdomen wound vac, reopening of recent laparotomy with small bowel resection, closure of abdomen, wound vac dressing change, regions of prior mesh excised, numerous interloop adhesions cut, small intestines dilated and fluid-filled, and extensive lysis of adhesions.

Event Description

The patient¿s attorney alleged a deficiency against the device.The product was used for laparoscopic therapeutic treatment of an incisional hernia.It was reported that after implant, the patient experienced inflammation, erosion, seroma, perforation, respiratory failure, incarcerated hernia, infection, pain, recurrence, adhesions, bloody ascites, small bowel obstruction, pneumatosis and air in the portal venous system, abdominal pain, coffee ground emesis, intestinal ischemia, distention, and chronic inflammatory fluid pockets around mesh.Post-operative patient treatment included icu stay for 9 days with ventillator use for 6 days, use of tpn for 13 days, 22 days hospitalization, wound care, ct scan, mesh revision, resuscitation, icu critical condition, placement of new mesh for complex ventral repair, exploratory laparotomy with small bowel resection, placement of open abdomen wound vac, reopening of recent laparotomy with small bowel resection, closure of abdomen, wound vac dressing change, regions of prior mesh excised, numerous interloop adhesions cut, small intestines dilated and fluid-filled, and extensive lysis of adhesions.

Manufacturer Narrative

Additional info: a4, b5, b7, g1, g3, h6 (added patient codes and device codes).Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.

• Brand Name: PARIETEX
• Type of Device: MESH, SURGICAL, POLYMERIC
• Manufacturer (Section D): SOFRADIM PRODUCTION SAS; 116 avenue du formans; trevoux 01600 ; FR 01600
• Manufacturer (Section G): SOFRADIM PRODUCTION SAS; 116 avenue du formans; trevoux 01600 ; FR 01600
• Manufacturer Contact: justin ellis ; 5920 longbow drive; 8200 coral sea st ne; mounds view,mn, CT 55112 ; 7635265677
• MDR Report Key: 8523638
• MDR Text Key: 142241974
• Report Number: 9615742-2019-01379
• Device Sequence Number: 1
• Product Code: FTL
• Combination Product (y/n): N
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Consumer
• Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial,Followup,Followup,Followup,Followup
• Report Date: 11/04/2022

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 04/17/2019
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: UNKNOWN PARIETEX
• Device Catalogue Number: UNKNOWN PARIETEX
• Was Device Available for Evaluation?: No
• Date Manufacturer Received: 11/02/2022
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Treatment: UNKABSTACK(LOT#: UNKNOWN).
• Patient Outcome(s): Required Intervention; Hospitalization; Life Threatening
• Patient Age: 55 YR
• Patient Sex: Male
• Patient Weight: 103 KG