SERI SURGICAL SCAFFOLDING

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-07-26 for SERI SURGICAL SCAFFOLDING manufactured by Allergan.

Event Text Entries

[50822186] Had diep flap surgery with my mastectomy. They used seri surgical scaffolding. I had severe pain, infections and it became encapsulated. It had to be removed in (b)(6) 2016. I am still in quite a bit of pain.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5063711
MDR Report Key5832722
Date Received2016-07-26
Date of Report2016-07-26
Date of Event2015-03-03
Date Added to Maude2016-07-29
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSERI SURGICAL SCAFFOLDING
Generic NameSERI SURGICAL SCAFFOLDING
Product CodeOXF
Date Received2016-07-26
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerALLERGAN


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other; 3. Required No Informationntervention 2016-07-26

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