NASASTENT RR1000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2016-11-07 for NASASTENT RR1000 manufactured by Arthrocare Corp..

Event Text Entries

[59292970]
Patient Sequence No: 1, Text Type: N, H10


[59292971] It was reported that the nasastent dressing failed to dissolve appropriately after a fess/turbinectomy case. The patient had to go back to the or two-weeks post-operatively for washout as the residual material had caused the patient to become septic. No additional information provided regarding subsequent treatment or current health status of the patient, however, no other complications have been reported.
Patient Sequence No: 1, Text Type: D, B5


[62413534] The product, used in treatment, was not returned for evaluation. A relationship, if any, between the product and the reported event could not be determined since the product was not returned for evaluation. Visual inspection and functional testing could not be performed because the product in question was not returned for evaluation. Thus, the complaint could not be verified, nor could a root cause be determined with confidence. It is possible the patient did not irrigate properly after implantation. The instructions for use (ifu) provided with the device contains warnings and precautionary measures related to proper use of the device including but not limited to: - "after placement, nasastent dressing may be hydrated if desired. " - "nasastent dressing is dissolvable and any residual material that has not dissolved or left the surgical site through normal outflow passages can be removed with irrigation and aspiration. "
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3006524618-2016-00297
MDR Report Key6082932
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2016-11-07
Date of Report2016-12-14
Date of Event2016-10-17
Date Mfgr Received2016-10-17
Date Added to Maude2016-11-07
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 ContactJIM GONZALES
Manufacturer Street7000 W. WILLIAM CANNON
Manufacturer CityAUSTIN TX 78735
Manufacturer CountryUS
Manufacturer Postal78735
Manufacturer Phone5123585706
Manufacturer G1ARTHROCARE CORP.
Manufacturer Street7000 W. WILLIAM CANNON
Manufacturer CityAUSTIN TX 78735
Manufacturer CountryUS
Manufacturer Postal Code78735
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNASASTENT
Generic NameSPLINT, INTRANASAL SEPTAL
Product CodeLYA
Date Received2016-11-07
Catalog NumberRR1000
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerARTHROCARE CORP.
Manufacturer Address7000 W. WILLIAM CANNON AUSTIN TX 78735 US 78735


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2016-11-07

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