MAUDE MDR 8128908

MDR report key
8128908
Report number
3010692967-2018-00028
Event key
0
Event type
3
Date of event
2018-11-12
Date received
2018-12-04
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. RONALD GIANNANGELO
Address
247 STATION DRIVE SUITE NE1 WESTWOOD MA 02090 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1STRATAFIXSTRATAFIX SPIRAL PDOSURGICAL SPECIALTIES PUERTO RICO, INC.GABSXPD2B412SXPD2B412UNKR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-12-040

Event Narratives#

N

Patient 1

TO DATE, THE COMPLAINT DEVICE HAS NOT BEEN RETURNED TO SURGICAL SPECIALTIES CORPORATION FOR ROOT CAUSE ANALYSIS. THE LOT NUMBER HAS NOT BEEN PROVIDED WHICH PRECLUDES A DHR REVIEW FROM BEING PERFORMED AT THIS TIME. UNFORTUNATELY WITHOUT THE DEVICE OR LOT INFORMATION WE ARE UNABLE TO DETERMINE A ROOT CAUSE AT THIS TIME. SHOULD THE DEVICE BE RETURNED OR ADDITIONAL INFORMATION RECEIVED ABOUT THE EVENTS, SURGICAL SPECIALTIES CORPORATION THE FILE WILL BE RE-OPENED. PDO (POLIDIOXANONE) MATERIAL IS ESSENTIALLY ABSORBED BETWEEN 182 AND 238 DAYS POST IMPLANTATION. HOWEVER, THIS SPECIFIC MATERIAL HAS IN VIVO STRENGTH RETENTION FOR UP TO SIX (6) WEEKS. ALL SUTURES ARE TECHNICALLY ?FOREIGN SUBSTANCES? THAT THE HUMAN BODY HAS A TENDENCY TO REJECT. IDEALLY THIS MEANS THE BODY BREAKS THEM DOWN AND DISSOLVES THEM OVER A PERIOD OF 3 OR 4 MONTHS. STILL IN SOME CASES, THE BODY DECIDES NOT TO BREAK THEM DOWN BUT INSTEAD PUSHES THEM OUT THROUGH THE TOP OF THE SKIN. THAT IS WHY IT IS NOT UNCOMMON FOR SPITTING SUTURES TO OCCUR. SPITTING OF SUTURE MATERIAL CAN ALSO BE THE RESULT OF PLACING THE MATERIAL TOO SUPERFICIALLY. THE SUTURE SIZE, TYPE, DEPTH, AND TECHNIQUE UTILIZED FOR EACH SPECIFIC PROCEDURE CAN BE AN IMPORTANT FACTOR IN DETERMINING AN EXACT ROOT CAUSE FOR THIS TYPE OF EVENT. WITHOUT RECEIVING DETAILED INFORMATION REGARDING THE PROCEDURE, TECHNIQUE AND POST-OPERATIVE DETAILS, A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED AT THIS TIME.

D

Patient 1

IT WAS REPORTED TO THE SALES REP THAT NINE PATIENTS IN THE LAST MONTH HAVE EXPERIENCED SKIN IRRITATIONS AND SUTURE SPITTING. TODAY THE CUSTOMER EMAILED THE SALES REP TO INFORM THE SALES REP OF THIS AND THEY WERE HEADED TO THE OR AND MOST LIKELY WILL HAVE TO DID A SKIN GRAFT ON THIS PATIENT. THE PA AND DOCTOR BELIEVE IT HAS TO DUE WITH THE STRATAFIX SUTURE SINCE THEY HAVE NOT CHANGED ANYTHING WITH TECHNIQUE OR PRODUCTS IN THE LAST YEARS.