SURGICAL WATER SOLUBLE LUBRICANT *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-04-10 for SURGICAL WATER SOLUBLE LUBRICANT * manufactured by *.

Event Text Entries

[601909] This occurred in two pts and i have heard from other plastic surgeons that they have had a similar problem. Pts had liposuction and a water soluable jelly is used to lubricate the cannula to minimize friction and heat to the skin. During the period these pts rec'd treatment, the surgery center purchased a generic brand of lubricant, i believe from mckesson. When the generic lubricant was removed and the original was re-instituted, no more cases of this problem occurred. Both pts developed thick granuloma at the liposuction entrance sites that have required surgical excision to correct. I sent one specimen for biopsy and it demonstrated foreign body reaction and granuloma. I personally know of at least two other plastic surgeons who had similar reactions in their pts around the time frame.
Patient Sequence No: 1, Text Type: D, B5


[6075351] This occurred in two pts and i have heard from other plastic surgeons that they have had a similar problem. Pts had liposuction and a water soluable jelly is used to lubricate the cannula to minimize friction and heat to the skin. During the period these pts rec'd treatment, the surgery center purchased a generic brand of lubricant, i believe from mckesson. When the generic lubricant was removed and the original was re-instituted, no more cases of this problem occurred. Both pts developed thick granuloma at the liposuction entrance sites that have required surgical excision to correct. I sent one specimen for biopsy and it demonstrated foreign body reaction and granuloma. I personally know of at least two other plastic surgeons who had similar reactions in their pts around the time frame.
Patient Sequence No: 2, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1042569
MDR Report Key838067
Date Received2007-04-10
Date of Report2007-04-04
Date of Event2005-08-01
Date Added to Maude2007-04-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
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
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSURGICAL WATER SOLUBLE LUBRICANT
Generic Name*
Product CodeKMJ
Date Received2007-04-10
Model Number*
Catalog Number*
Lot Number*
ID Number*
Device Availability*
Device Age*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key825370
Manufacturer*
Manufacturer Address* * *


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2007-04-10
201. Deathisabilit 2007-04-10

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