GENTRIX SURGICAL MATRIX THICK PSMT1620

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2018-08-21 for GENTRIX SURGICAL MATRIX THICK PSMT1620 manufactured by Acell, Inc..

Event Text Entries

[117769375] This mdr is being submitted due to the reported suture pull through that occurred during the initial placement of the acell device. The device was therefore not used, the surgeon requested and used a device from a different manufacturer which resulted in a delay (increased surgery time). The patient did not experience any complication due to the suture pull through. The device was returned to acell for further investigation, suture pull through could not be duplicated on the device. A review of the manufacturing records for this lot identified no deviations in the production process that fall outside of specification. The device was manufactured and distributed sterile in compliance with acell's operating procedures and federal, state, and local laws and regulations.
Patient Sequence No: 1, Text Type: N, H10


[117769376] On (b)(6) 2018, acell, inc. Became aware that suture pull through occurred with an acell device during the reinforcement of a incisional hernia repair. Contrary to the device's instructions for use (ifu), the device was hydrated for 25 minutes and in a 100 deg fahrenheit warmer. The ifu specifies to hydrate the device in a sterile dish with room temperature sterile saline for a minimum of 30 minutes and maximum 60 minutes. The surgeon secured one side of the mesh with a 1 ctx braided suture; however, when the surgeon began to secure the other side down, the suture pulled through on the initially secured side of the device. The device was not used. The surgeon requested and used a device from a different manufacturer which resulted in a surgical delay (increased surgery time). The patient did not experience any complication due to the suture pull through nor the increased surgery time.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005920706-2018-00011
MDR Report Key7802057
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2018-08-21
Date of Report2018-07-23
Date of Event2018-07-23
Date Mfgr Received2018-07-23
Device Manufacturer Date2017-01-16
Date Added to Maude2018-08-21
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 ContactMR. BARRY BRAINARD
Manufacturer Street6640 ELI WHITNEY DR.
Manufacturer CityCOLUMBIA MD 21046
Manufacturer CountryUS
Manufacturer Postal21046
Manufacturer Phone4109538558
Manufacturer G1ACELL, INC.
Manufacturer Street6640 ELI WHITNEY DR.
Manufacturer CityCOLUMBIA MD 21046
Manufacturer CountryUS
Manufacturer Postal Code21046
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGENTRIX SURGICAL MATRIX THICK
Generic NameGENTRIX SURGICAL MATRIX THICK
Product CodeOXH
Date Received2018-08-21
Returned To Mfg2018-07-24
Model NumberPSMT1620
Catalog NumberPSMT1620
Lot Number010957
Device Expiration Date2019-11-30
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerACELL, INC.
Manufacturer Address6640 ELI WHITNEY DR COLUMBIA MD 21046 US 21046


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other 2018-08-21

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