IDRT-TS (INTL) 5 PACK 4X5 84055

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,02,05,07 report with the FDA on 2013-06-17 for IDRT-TS (INTL) 5 PACK 4X5 84055 manufactured by Integra Lifesciences Corp..

Event Text Entries

[3557908] It was reported the pt was enrolled in a clinical study in (b)(4) titled: eval of integra artificial dermis for the treatment of leg ulcers. Idrt was implanted on (b)(6) 2012 on the pt's left posterior leg ulcer. On (b)(6) 2012, the graft was checked and a localized infection (acinetobacter which was multi-resistant) was observed. Treatment with (unspecified) antibiotics was provided and the infection resolved "due to antibiotics".
Patient Sequence No: 1, Text Type: D, B5


[10858950] Integra has completed their internal investigation on (b)(4) 2013. The investigation included: methods: review of device history records. Review of complaint history. Eval of the complaint related device was not performed as the product was not returned. A review of the mfg records was performed which revealed: all mfg equipment underwent sterilization at the required temp and time conditions. The foil and tyvek pouch sealing conditions and test results were reviewed and met requirements. Product endotoxin and pre-sterile bioburden tests met requirements. Environmental monitoring results met requirements. The product lots terminal sterilization results were reviewed and the radiation doses met requirements. All finished good requirement were satisfactorily met. Therefore, based on the dhr review conducted, there is no indication that the production process may have contributed to this complaint. Review of complaint history: there were 15 infection related complaints for idrt-ts, idrt-sl, bmw and mwm skin products in the previous 12 months. None of these other complaints involved the lot genealogy of this complaint. (b)(4). Note that there were no other complaints associated with this lot genealogy; this complaint appears to be an isolated event. Conclusion: based on review of the batch record, nonconformances, trending and complaint history, no root cause attributable to the mfg process could be identified through this investigation. In addition, the product was not returned from the field; therefore, no failure analysis of the product could be conducted. Based on the reported info and the investigation results provided. Integra considers this complaint closed. Future incidents of this nature will be documented for recurrence and trending purposes.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1121308-2013-00019
MDR Report Key3181508
Report Source01,02,05,07
Date Received2013-06-17
Date of Report2013-06-17
Date Mfgr Received2013-05-23
Date Added to Maude2013-06-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactCAREN FINKELSTEIN
Manufacturer Street315 ENTERPRISE DR.
Manufacturer CityPLAINSBORO NJ 08536
Manufacturer CountryUS
Manufacturer Postal08536
Manufacturer Phone6099362341
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIDRT-TS (INTL) 5 PACK 4X5
Generic NameIDRT-TS
Product CodeMGR
Date Received2013-06-17
Catalog Number84055
Lot Number105B00246903
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerINTEGRA LIFESCIENCES CORP.
Manufacturer AddressPLAINSBORO NJ 08536 US 08536


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2013-06-17

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