inforMED
MalfunctionEZX

SYNPOR SMOOTH FAN PLATE 35MM/0.8MM THICK-STERILE

Received Dec 9, 2014

Report 2520274-2014-15198 · MDR key 4307361

Device

Generic name

Mesh,surgical

Manufacturer

Synthes Usa

Catalog number

08.510.646S

Product problems

  • Migration or Expulsion of Device

Patient

Not reported

  • Pain

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT HAD A POST-OPERATIVE SCAN AND IT WAS NOTED THAT THE IMPLANT SHIFTED. PATIENT REPORTED EXPERIENCING PAIN POST-OPERATIVELY. NO OTHER INFORMATION WAS PROVIDED AT THIS TIME. THIS REPORT IS FOR 1 OF 1 FOR COMPLAINT (B)(4).

Additional Manufacturer Narrative

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. DEVICE PRODUCT CODE: FTM IS THE CORRECT CODE; XXX WAS ENTER AS THERE ARE SYSTEM ISSUES. INVESTIGATION COULD NOT BE COMPLETED AND NO CONCLUSION COULD BE DRAWN AS NO DEVICE WAS RETURNED AND NO LOT NUMBER WAS PROVIDED. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.