OMNIGRAFT, UNKNOWN XXX-OMNIGRAFT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2017-12-13 for OMNIGRAFT, UNKNOWN XXX-OMNIGRAFT manufactured by Integra Lifesciences Corporation.

Event Text Entries

[94668034] Investigation completed 08dec2017. No product was returned for this complaint. Therefore, failure analysis could not be performed. The omnigraft product was used during surgery. No product lot number is provided so a dhr review could not be conducted. All product is released based on passing of all in process and finished goods criteria. Due to lack of product id and lot number for this complaint, another query was performed of integra's complaints database for the timeframe of 12 months (from 17 november 2016 to present (~29 november 2017)) using the keywords? Infection? ,? Pus,? ? Green? ,? Omnigraft? , or? Omnigraft-infection.? Only the current complaint was found based on the query. The calculated complaint rate is 0. 152%. It is difficult to pinpoint the exact root cause of the infection. The most probable root cause can be that the environment post application was inadequate for wound healing.
Patient Sequence No: 1, Text Type: N, H10


[94668035] It was reported that a patient presented to the clinic on (b)(6) 2017 with green pus under the integra silicone in his hand. The treating physician at the clinic acknowledged he was treating an infection and wanted to know what topical antibiotics could be used with the graft; if it was possible to save the graft. He reported he was not very familiar with integra or omnigraft. He was unable to visibly detect any meshing. Another physician initially treated the patient for a traumatic injury of the left hand. Approximately 2 to 3 months ago, the patient had the first application of integra placed for a wound that had an exposed tendon. The patient had a second piece of integra placed approximately 8 days ago from the reporting date of (b)(6) 2017. Additional information has been requested.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1121308-2017-00012
MDR Report Key7112486
Report SourceHEALTH PROFESSIONAL
Date Received2017-12-13
Date of Report2017-11-17
Date of Event2017-11-17
Date Mfgr Received2017-11-17
Date Added to Maude2017-12-13
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 ROWENA BUNUAN
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 NameOMNIGRAFT, UNKNOWN
Generic NameINTEGRA OMNIGRAFT DERMAL REGENERATION MATRIX
Product CodeMDD
Date Received2017-12-13
Catalog NumberXXX-OMNIGRAFT
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerINTEGRA LIFESCIENCES CORPORATION
Manufacturer Address105 MORGAN LANE 105 MORGAN LANE PLAINSBORO NJ 08536 US 08536


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-12-13

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