BIOGLUE SURGICAL ADHESIVE BG3502-5-US

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2019-05-14 for BIOGLUE SURGICAL ADHESIVE BG3502-5-US manufactured by Cryolife, Inc..

Event Text Entries

[144997930] This investigation is currently ongoing. Any additional information will be provided in the follow-up report.
Patient Sequence No: 1, Text Type: N, H10


[144997931] According to the initial report,"i received a call from a plastic surgeon that used bioglue for a facelift procedure. The patient has a complaint of a mass under her skin that has presented post-op. The surgeon was inquiring if the application of bio-glue was responsible. " additional information received relays the plastic surgeon used the bioglue for a facelift procedure on both sides of face to adhere flaps. The patient came in for follow up two months post operatively complaining of mass. The patient's left side of face developed a mass postoperatively along suture line where bioglue was used. No intervention has been performed. Per a phone conversation on (b)(6) 2019 between the plastic surgeon and cryolife's medical director, it was discussed how the plastic surgeon could best remove the bioglue mass. The patient has reported pain, tingling and loss of feeling where the bioglue mass is located. The plastic surgeon dosen't remember the amount of bioglue used, but stated that half of the syringe was used on one side of the face and the other half was used on the patient's other side of face. Cryolife's medical director relayed that bioglue is used for large vessel anastomosis, and the use of bioglue during a facelift is an off label use. Cryolife's medical director also answered the plastic surgeon's question if the bioglue will go away (dissolve). Cryolife's medical director responded that it can take months up to 1 year before the bioglue will be reabsorbed. The plastic surgeon is planning to schedule the patient very soon for surgery to remove the bioglue mass.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1063481-2019-00028
MDR Report Key8608601
Report SourceHEALTH PROFESSIONAL
Date Received2019-05-14
Date of Report2019-06-17
Date Facility Aware2019-04-30
Date Mfgr Received2019-04-30
Date Added to Maude2019-05-14
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 ContactROCHELLE MANEY
Manufacturer Street1655 ROBERTS BLVD. NW
Manufacturer CityKENNESAW GA 30144
Manufacturer CountryUS
Manufacturer Postal30144
Manufacturer Phone7704193355
Manufacturer G1CRYOLIFE, INC.
Manufacturer Street1655 ROBERTS BLVD. NW
Manufacturer CityKENNESAW GA 30144
Manufacturer CountryUS
Manufacturer Postal Code30144
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBIOGLUE SURGICAL ADHESIVE
Generic NameGLUE, SURGICAL, ARTERIES
Product CodeMUQ
Date Received2019-05-14
Model NumberBG3502-5-US
Catalog NumberBG3502-5-US
Lot Number18EUV006
Device Expiration Date2019-10-10
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCRYOLIFE, INC.
Manufacturer Address1655 ROBERTS BLVD. NW KENNESAW GA 30144 US 30144


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2019-05-14

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