SURGIMESH XB TINTRA E-2226

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-08-21 for SURGIMESH XB TINTRA E-2226 manufactured by Aspide Medical.

Event Text Entries

[24222857] Following removal of previously placed mesh and re-repair of a ventral hernia using surgimesh xb e-2226 during a robotic laparoscopic, the patient was diagnosed with pneumoperitoneum on (b)(6) 2015. At re-exploration the patient was found to have a transverse colon enterotomy which was repaired and treated with cipro/flagyl and a wound vac. On pod 3 the patient was taken back to the operating room for an i and d with intermediate closure performed. On pod 8 the patients wound vac was taken down and the abdominal wound packed with aquacel and covered with gauze. On pod 9 the patient was transferred to the sar where her vital signs were stable. Wound treatment continues with the xb e-2226 in place. Sterility of the xb e-2226 was confirmed with the manufacturers sterilization records.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005841068-2015-00008
MDR Report Key5032733
Date Received2015-08-21
Date of Report2015-08-18
Date of Event2015-04-30
Date Facility Aware2015-07-22
Report Date2015-08-18
Date Reported to Mfgr2015-08-18
Date Added to Maude2015-08-26
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer Street20925 PHEASANT TRAIL SUITE 100
Manufacturer CityDEER PARK IL 60010
Manufacturer CountryUS
Manufacturer Postal60010
Manufacturer G1BG MEDICAL LLC
Manufacturer Street20925 PHEASANT TRAIL SUITE 100
Manufacturer CityDEER PARK IL 60010
Manufacturer CountryUS
Manufacturer Postal Code60010
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSURGIMESH XB
Generic NameTINTRA E-2226
Product CodeOXJ
Date Received2015-08-21
Model NumberTINTRA E-2226
Catalog NumberTINTRA E-2226
Lot NumberF09288A
Device Expiration Date2019-03-28
Device AvailabilityN
Device Age4 MO
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerASPIDE MEDICAL
Manufacturer Address246 ALLEE LAVOISIER LATALAUDIERE 42350 FR 42350


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-08-21

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