GELSOFT 632010DB

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 2018-10-17 for GELSOFT 632010DB manufactured by Vascutek Ltd.

Event Text Entries

[123984492] (b)(4). A review of the retained manufacturing and quality records (with specific emphasis of the base material permeability and device porosity testing) confirmed that the product was manufactured to the intended specifications. The whole batch of (b)(4) passed porosity testing well below acceptance limit of 152ml/min with minimum reading of 23ml/min and highest reading of 28ml/min. A review of similar events was performed for all knitted devices that have been reported to have leaked. The incident rate for reported leakage events was confirmed as 0. 019% (complaints v sales). The review included all similar events reported to vascutek between jan2013 - sep 2018 inclusive. No negative trend was identified during the review.
Patient Sequence No: 1, Text Type: N, H10


[123984493] Vascutek ltd was notified of an event that occurred in (b)(6), the event was described as follows: on (b)(6) 2017: the graft was implanted for abdominal aortic aneurysm (aaa). On (b)(6) 2018: the patient visited the hospital complaining about pain. The departments of cardiovascular surgery and radiology identified blood leakage from the leftmost one of the gelsoft branches by ct scanning. A stent graft was then added to the leakage area.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9612515-2018-00020
MDR Report Key7974072
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2018-10-17
Date of Report2018-10-25
Date of Event2018-09-18
Report Date2018-09-21
Date Reported to Mfgr2018-09-21
Date Mfgr Received2018-09-21
Device Manufacturer Date2016-07-28
Date Added to Maude2018-10-17
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 ContactMRS CAROLYN FORREST
Manufacturer StreetNEWMAINS AVENUE INCHINNAN BUSINESS PARK
Manufacturer CityRENFREWSHIRE, PA4 9RR
Manufacturer CountryUK
Manufacturer PostalPA4 9RR
Manufacturer G1VASCUTEK LTD
Manufacturer StreetNEWMAINS AVENUE INCHINNAN BUSINESS PARK
Manufacturer CityRENFREWSHIRE, PA4 9RR
Manufacturer CountryUK
Manufacturer Postal CodePA4 9RR
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGELSOFT
Generic NameGELSOFT PLUS
Product CodeMAL
Date Received2018-10-17
Catalog Number632010DB
Lot Number390278 9150
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age26 MO
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerVASCUTEK LTD
Manufacturer AddressNEWMAINS AVENUE INCHINNAN BUSINESS PARK RENFREWSHIRE, PA4 9RR UK PA4 9RR


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2018-10-17

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