MERSILENE TAPE UNKNOWN PRODUCT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a literature report with the FDA on 2018-12-19 for MERSILENE TAPE UNKNOWN PRODUCT manufactured by Ethicon Inc..

Event Text Entries

[130895619] (b)(4). This report is related to a journal article; therefore, no product will be returned for analysis and the batch history records cannot be reviewed as the lot number has not been provided. Attempts are being made to obtain the following information. To date no response has been provided. If further details are received at a later date a supplemental medwatch will be sent. Were the cases discussed in this article previously reported to ethicon? If yes, please provide a complaint reference number. Does the surgeon believe that ethicon products involved caused and/or contributed to the post-operative complications described in the article? Does the surgeon believe there was any deficiency with the ethicon products used in this procedure? Citation: the journal of reproductive medicine volume 62, number 1-2, january-february 2017. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[130895620] It was reported via journal article: title: "a further application of detachable snare loops (endoloop) for repair of bladder injury," author(s): theodore tsaltas, m. D. , citation: the journal of reproductive medicine volume 62, number 1-2, january-february 2017. This study reported a case of a (b)(6) female patient who underwent shirodkar cerclage due to extensive cervical destruction from 2 prior procedures for dysplasia. She complained of dyspareunia and a vaginal mass (cervix scarred to the anterior vaginal wall down the vaginal barrel). Pressure on the cervix or uterine motion produced pain. She was advised to undergo laparoscopic hysterectomy. During the laparoscopic hysterectomy, extensive adhesion and inflammation were encountered anterior to the cervix managed by laparoscopic and vaginal dissection. After removal of the uterus, mersilene tape (used shirodkar cerclage) was noted during the closure of the vaginal cuff. Laparoscopic examination showed a 5mm tear in the bladder. The timing and location of the findings were compatible with the openings of an erosion created and occluded by the mersilene knot. Pathology confirmed extensive inflammation and erosion compatible with ulceration. Extensive inflammation precluded observational management. The bladder tear was managed in which the edges of the tear were closed using a laparoscopic allis forceps and a 0 pds endoloop. Irrigation showed the bladder intact. The ureters were patent and functioning. The injury site was watertight. This technique allows for rapid repair of even difficult bladder injuries of appropriate size under complex conditions.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2210968-2018-77904
MDR Report Key8180897
Report SourceLITERATURE
Date Received2018-12-19
Date of Report2018-12-03
Date Mfgr Received2018-12-03
Date Added to Maude2018-12-19
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 ContactDARLENE KYLE
Manufacturer StreetP.O. BOX 151, ROUTE 22 WEST
Manufacturer CitySOMERVILLE NJ 088760151
Manufacturer CountryUS
Manufacturer Postal088760151
Manufacturer Phone9082182792
Manufacturer G1ETHICON INC.
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMERSILENE TAPE UNKNOWN PRODUCT
Generic NameINSTRUMENT, SURGICAL, DISPOSABLE
Product CodeKDC
Date Received2018-12-19
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerETHICON INC.
Manufacturer AddressP.O. BOX 151, ROUTE 22 WEST SOMERVILLE NJ 088760151 US 088760151


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2018-12-19

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