MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2016-03-01 for MESO BIOMATRIX ACELLULAR PERITONEUM MATRIX 30055-06 manufactured by Dsm Biomedical.
[39397365]
Review of the device history records does not have deviations that would contribute to the reported complications. The product met all pre-determined acceptance criteria. Review of sterilization records indicate the product was processed in accordance with product requirements and met all pre-determined acceptance criteria for sterility. The cause of the complication can not be determined from the provided information or the manufacturing records.
Patient Sequence No: 1, Text Type: N, H10
[39397366]
A female patient had prior bilateral mastectomy followed by tissue expander implantation. On (b)(6) 2015, she had the tissue expanders replaced with 410cc textured, silicone gel breast implants bilaterally. Meso biomatrix was also implanted in each breast. Approximately 2 weeks later, redness was observed on the medial side of the left breast. It was described as shiny and warm. She had no clinical signs of infection. She was admitted to the hospital and started on intravenous antibiotics, which continued for 5 days. The symptoms lessened while in the hospital. She was discharged on oral antibiotics for 6 weeks. At the end of the 6 week course of antibiotics, there were no signs of infection.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2530154-2016-00004 |
| MDR Report Key | 5470924 |
| Report Source | FOREIGN,HEALTH PROFESSIONAL |
| Date Received | 2016-03-01 |
| Date of Report | 2016-03-01 |
| Date of Event | 2015-10-23 |
| Date Mfgr Received | 2016-02-03 |
| Device Manufacturer Date | 2014-07-28 |
| Date Added to Maude | 2016-03-01 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. FORDE HANSELL |
| Manufacturer Street | 735 PENNSYLVANIA DRIVE |
| Manufacturer City | EXTON PA 19341 |
| Manufacturer Country | US |
| Manufacturer Postal | 19341 |
| Manufacturer Phone | 4847132152 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | MESO BIOMATRIX ACELLULAR PERITONEUM MATRIX |
| Generic Name | MESH, SURGICAL, COLLAGEN, PLASTIC AND RECONSTRUCTIVE SURGERY |
| Product Code | OXH |
| Date Received | 2016-03-01 |
| Model Number | 30055-06 |
| Lot Number | C0767 |
| Device Expiration Date | 2015-10-31 |
| Operator | PHYSICIAN |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | DSM BIOMEDICAL |
| Manufacturer Address | 735 PENNSYLVANIA DRIVE EXTON PA 19341 US 19341 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2016-03-01 |