MAUDE MDR 9788452

MDR report key
9788452
Report number
3002924436-2020-00009
Event key
0
Event type
3
Date received
2020-03-04
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MRS LEILA KELLY
Address
11621 RESEARCH CIRCLE ALACHUA, FL US
Phone
418-418-4188
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1TUTOPATCH? DURAL SUBSTITUTEDURAL GRAFT SUBSTITUTETUTOGEN MEDICAL GMBHGXQNOT PROVIDEDR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-0401. O

Event Narratives#

N

Patient 1

UNIQUE IDENTIFIERS WERE NOT PROVIDED IN ORDER TO CONDUCT A COMPREHENSIVE RECORDS RE-REVIEW. IF ADDITIONAL INFORMATION BECOMES AVAILABLE, A FOLLOW UP REPORT WILL BE SUBMITTED.

D

Patient 1

RTI SURGICAL, INC (RTI) AND TUTOGEN MEDICAL GMBH (TMI), A WHOLLY SUBSIDIARY OF RTI, RECEIVED A COMPLAINT ON (B)(6) 2020. AN ADVERSE EVENT WAS REPORTED THROUGH A POST MARKET SURVEY FOR TUTOPATCH? FOR DURA SUBSTITUTION APPLICATION VIA QUALTRICS SURVEY SOFTWARE. THE DOCTOR INDICATED THAT THE DOCTOR INDICATED THAT DURING HIS 15 YEARS OF USING THE PRODUCT, < 1% OF HIS PATIENTS/CASES HAVE EXPERIENCED INFECTION, INFLAMMATION AND BRAIN ABSCESS FORMATION. ADDITIONAL INFORMATION HAS BEEN REQUESTED. TO DATE, NO ADDITIONAL INFORMATION HAS BEEN RECEIVED.