IDRT SINGLE LAYER (INTL) 2X2 SINGLE 62021

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 2014-10-21 for IDRT SINGLE LAYER (INTL) 2X2 SINGLE 62021 manufactured by Integra Lifesciences Corp..

Event Text Entries

[5148858] This event is being reported as part of a study in greece titled "clinical outcome of defect reconstruction using idrt single layer: results from a prospective multicentric trial". It was reported the pt 'was operated on (b)(6) 2013 with idrt sl 1 stage. But on (b)(6) 2013, 15% graft less with tendon exposure. No treatment. Follow-up. On (b)(6) 2014, the wound completely healed'.
Patient Sequence No: 1, Text Type: D, B5


[12212616] The device involved in the reported incident is not available for eval. An investigation has been initiated based on the reported info.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1121308-2014-00067
MDR Report Key4195829
Report Source01,02,05,07
Date Received2014-10-21
Date of Report2014-09-29
Date of Event2013-06-10
Date Mfgr Received2014-09-29
Date Added to Maude2014-10-24
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 SINGLE LAYER (INTL) 2X2 SINGLE
Generic NameIDRT
Product CodeMGR
Date Received2014-10-21
Catalog Number62021
Lot Number105A00254166
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerINTEGRA LIFESCIENCES CORP.
Manufacturer AddressPLAINSBORO NJ 08536 US 08536


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-10-21

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