• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AROA BIOSURGERY RESTELLA SURGICAL MESH

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

AROA BIOSURGERY RESTELLA SURGICAL MESH Back to Search Results
Catalog Number R20153-2020G
Device Problem Insufficient Information (3190)
Patient Problem Patient Problem/Medical Problem (2688)
Event Date 11/05/2019
Event Type  Injury  
Event Description
A patient underwent a bilateral mastectomy with immediate prepectoral tissue expander breast reconstruction on (b)(6) 2019. The patient drained approximately 100cc/day of clear serous drainage on each side and was taken back to the or on (b)(6) 2019 (12 days post op) for exploratory surgery. Incorporation of the restella resorbable (pga) had begun at the attachment to the muscle but was not yet complete. As a precaution, the surgeon removed the implants on both sides.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand NameRESTELLA
Type of DeviceSURGICAL MESH
Manufacturer (Section D)
AROA BIOSURGERY
2 kingsford smith place
airport oaks
auckland, 2022
NZ 2022
MDR Report Key9413541
MDR Text Key169208303
Report Number3010513348-2019-00013
Device Sequence Number1
Product Code FTM
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Distributor
Reporter Occupation
Type of Report Initial
Report Date 11/14/2019,12/04/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/04/2019
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator
Device Expiration Date06/30/2020
Device Catalogue NumberR20153-2020G
Device Lot NumberERT-9G04
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? Yes
Distributor Facility Aware Date11/06/2019
Device Age4 MO
Event Location Hospital
Date Report to Manufacturer11/14/2019
Was Device Evaluated by Manufacturer? No Answer Provided
Is the Device Single Use? No Answer Provided
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage

Patient Treatment Data
Date Received: 12/04/2019 Patient Sequence Number: 1
-
-