PRIMATRIX MESHED 10CM X 25CM 607-005-125

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,distri report with the FDA on 2015-12-03 for PRIMATRIX MESHED 10CM X 25CM 607-005-125 manufactured by Tei Biosciences Inc.

Event Text Entries

[32596604] It was reported a patient had delayed wound healing due to the thickness of the product. Conversation with the surgeon revealed, "the product is too thick. The interstices are too wide. It delays healing by 2-3 weeks. Poor graft take and areas of poor to no neo dermis (were identified). " it was reported there was no patient injury alleged. It was reported the complaint is in regard to product attributes and performance.
Patient Sequence No: 1, Text Type: D, B5


[33265281] Additional information received 20nov15: there is no specific patient associated with this complaint. The product is being used in the or and dr. (b)(6) feels that the primatrix 2:1 meshed product is thicker and takes longer to achieve the results he was getting when using primatrix solid and just meshing the product himself.
Patient Sequence No: 1, Text Type: N, H10


[40431507] Integra completed its internal investigation 26feb2016. The investigation included: results: lot information was not provided. Dhr review could not be conducted. No other complaint in the past 12 months has specified thickness issues based on the md's preference. No indication that a product was returned; a failure analysis is not performed.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3004170064-2015-01125
MDR Report Key5263402
Report SourceCOMPANY REPRESENTATIVE,DISTRI
Date Received2015-12-03
Date of Report2015-11-09
Date Mfgr Received2016-02-26
Date Added to Maude2015-12-03
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationDENTAL HYGIENIST
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 G1TEI BIOSCIENCES INC
Manufacturer Street7 ELKINS STREET
Manufacturer CityBOSTON MA 02127
Manufacturer CountryUS
Manufacturer Postal Code02127
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePRIMATRIX MESHED 10CM X 25CM
Generic NamePRIMATRIX
Product CodeKGN
Date Received2015-12-03
Catalog Number607-005-125
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerTEI BIOSCIENCES INC
Manufacturer Address7 ELKINS STREET 7 ELKINS STREET BOSTON MA 02127 US 02127


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-12-03

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