FLOWABLE WOUND MATRIX - UNSPECIFIED XXX-FLOWABLE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-11-20 for FLOWABLE WOUND MATRIX - UNSPECIFIED XXX-FLOWABLE manufactured by Integra Lifesciences Corp.

Event Text Entries

[31796251] Reportedly the patient was treated with an integra product (flowable wound matrix) by the podiatrist named as the defendant. The provided documents indicate the patient suffered serious and permanent injury to her right foot, causing severe pain with ambulation and the need for future surgery, physical therapy, and other treatment. It is alleged the care of this patient involved negligent acts and/or omissions that did not comply with the "standard of care. " additional information has been requested.
Patient Sequence No: 1, Text Type: D, B5


[36607522] Integra has completed their internal investigation on 12/21/2015. The investigation included: methods: review of complaints history. Results: no product lot number was provided with this complaint; therefore, dhr review cannot be performed. If the product lot number is provided at a later date, dhr review will be performed and updated at that time. A query of the trackwise complaints database for the timeframe of 12 months (from 06nov2014 to 06nov2015) was performed using the keywords? Flowable wound matrix? That also include the keywords? Pain? Or? Ambulation.? This complaint is associated with flowable wound matrix. There were approximately (b)(4) of these products sold in the past year. As per the trending query, there was (1) complaint identified related to flowable. Therefore; the calculated complaint rate is (b)(4). Conclusion: the root cause is undetermined. While possible hazards were identified in the mdha using keywords from the complaint, no lot number was provided for dhr review. Integra lifesciences has process steps and testing in place to mitigate risk and is dedicated to manufacturing safe and effective product. As described in the trending section, no trend has been identified. The original complaint alleged the care of this patient involved negligent acts and/or omissions that did not comply with the? Standard of care.?
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1121308-2015-00024
MDR Report Key5240763
Date Received2015-11-20
Date of Report2015-10-27
Date Mfgr Received2015-12-21
Date Added to Maude2015-11-20
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 FDA3
Event Location3
Manufacturer ContactUSER MARIA LEONARD
Manufacturer Street311 ENTERPRISE DRIVE
Manufacturer CityPLAINSBORO NJ 08536
Manufacturer CountryUS
Manufacturer Postal08536
Manufacturer Phone6099362393
Manufacturer G1INTEGRA LIFESCIENCES CORPORATION
Manufacturer Street105 MORGAN LANE
Manufacturer CityPLAINSBORO NJ 08536
Manufacturer CountryUS
Manufacturer Postal Code08536
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFLOWABLE WOUND MATRIX - UNSPECIFIED
Generic NameN/A
Product CodeKGN
Date Received2015-11-20
Catalog NumberXXX-FLOWABLE
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerINTEGRA LIFESCIENCES CORP
Manufacturer Address311 ENTERPRISE DRIVE 311 ENTERPRISE DRIVE PLAINSBORO NJ 08536 US 08536


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention; 2. Deathisabilit 2015-11-20

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