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 2002-04-10 for ADCON-L ANTI-ADHESION BARRIER GEL G0026 manufactured by Gliatech Medical, Inc..

Event Text Entries

[18949527] In 2002, gliatech's distributor in the uk (forth medical) described a conversation with consultant plastic surgeon in which he notes that he had observed occasional "raging infections" following application of adcon for tenolysis procedures. Per the distributor, the surgeon believes that "the presence of adcon seems to exacerbate the infective episode. Upon further clarification, it was determined that the infections occurred following application of adcon-t/n (not commercially available in the united states). The surgeon recalled that he had observed approximately five total cases of infection. Although these infections initially appeared to involve adcon-t/n, the surgeon did state that one recent case of infection (approximately three weeks ago) occurred following an off label use of adcon-l. In all cases the surgeon reported that the infections developed within twenty-four hours of the surgical procedure. Surgeon described the infections as "a bag of puss surrounding the wound". All pts are presently doing well following administration of antibiotics.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1530649-2002-00009
MDR Report Key387560
Report Source05
Date Received2002-04-10
Date of Report2002-04-05
Date Mfgr Received2002-03-08
Date Added to Maude2002-04-12
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 Received2002-04-10
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 Key376588
ManufacturerGLIATECH MEDICAL, INC.
Manufacturer Address23420 COMMERCE PARK RD. 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 2002-04-10

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