RENU VOICE CAHA IMPLANT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-09-12 for RENU VOICE CAHA IMPLANT manufactured by Regen Scientific.

Event Text Entries

[120381803] Pt presented to clinic after 3 days of aspiration symptoms and breathy dysphonia. Laryngoscopy was performed which showed a diagnosis of left idiopathic vocal cord paralysis. A ct of the neck and chest was performed which showed no abnormalities of the larynx, pharynx or neck masses. On (b)(6) 2018 the pt underwent general anesthesia for transoral augmentation of the left vocal cord. On (b)(6) 2018 the pt returned for a f/u appt because he had become increasing hoarse and was having profound chronic coughing at night. Laryngoscopy was performed which identified a mass on the left vocal cord. On (b)(6) 2018, the pt returned to operating room and it was identified that he had a poorly delineated bulge on the left vocal cord at the site of the previous injection. This area was firm, not consistent with a mass or tumor, ill defined boarders and appeared red and inflamed. A biopsy was sent to pathology for further evaluation. Histology identified high grade dysplasia of the mucosal surface and severe acute and chronic inflammation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5079778
MDR Report Key7872627
Date Received2018-09-12
Date of Report2018-09-11
Date of Event2018-04-30
Date Added to Maude2018-09-13
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameRENU VOICE CAHA IMPLANT
Generic NameVOCAL CORD MEDIALIZATION
Product CodeMIX
Date Received2018-09-12
Lot NumberV708-00040
Device Expiration Date2019-09-20
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerREGEN SCIENTIFIC
Manufacturer AddressEAST TROY WI 553120 US 553120


Patients

Patient NumberTreatmentOutcomeDate
10 2018-09-12

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