ADCON-L ANTI-ADHESION BARRIER GEL G0026

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2001-11-09 for ADCON-L ANTI-ADHESION BARRIER GEL G0026 manufactured by Gliatech Medical Inc..

Event Text Entries

[21710201] Recently members of gilatech met with a doctor who performs in the united kingdom. In the meeting with the doctor he claimed that there were no hypotensive events to report. A leter meeting with his anesthetist revealed that in fact he thought there had been. The anesthetist said that the event should be classified as profound hypotension (bp dropping to 50 mm). The anesthetist said that it was their belief at the time of the events that the events were tied to the doctor's surgical practices (the use of an epidural anesthetic, a local cocktail, at closing). No specific patient details were given.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1530649-2001-00318
MDR Report Key360782
Report Source05
Date Received2001-11-09
Date of Report2001-11-09
Date Mfgr Received2001-10-05
Date Added to Maude2001-11-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer Street23420 COMMERCE PARK ROAD
Manufacturer CityCLEVELAND OH 44122
Manufacturer CountryUS
Manufacturer Postal44122
Manufacturer Phone2168313200
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameADCON-L ANTI-ADHESION BARRIER GEL
Generic NameINHIBITOR, PERIDURAL
Product CodeMLQ
Date Received2001-11-09
Model NumberNA
Catalog NumberG0026
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeNA
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key349940
ManufacturerGLIATECH MEDICAL INC.
Manufacturer Address23420 COMMERCE PARK ROAD CLEVELAND OH 44122 US
Baseline Brand NameADCON-L ADHESION CONTROL IN A BARRIER GEL
Baseline Generic NameINHIBITOR, PERIDURAL FIBROSIS
Baseline Model NoNA
Baseline Catalog NoG0026
Baseline ID3 GRAMS IN SYRI
Baseline Device FamilyADCON-L ADHESION CONTROL IN A BARRIER GEL
Baseline Shelf Life ContainedY
Baseline Shelf Life [Months]24
Baseline PMA FlagY
Premarket ApprovalP9600
Baseline 510K PMNN
Baseline PreamendmentN
Baseline TransitionalN
510k ExemptN


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2001-11-09

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