FDA Adverse Event
Death
Summary report: N
EXOGEN ULTRASOUND BONE HEALING SYSTEM
MDR report key: 12600500
·
Received October 8, 2021
Report
- Report Number
- 3010203571-2021-00012
- Event Type
- Death
- Date Received
- October 8, 2021
- Date of Event
- June 23, 2020
- Report Date
- September 14, 2021
- Manufacturer
- BIOVENTUS LLC
- Product Code
- LOF
- UDI-DI
- M937710344001G
- PMA / PMN Number
- P900009
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 1
BASED ON THE INFORMATION AVAILABLE, NO DEFINITIVE CONCLUSIONS CAN BE MADE IN REGARDS TO THE REPORTED EVENT. ATTEMPTS FOR ADDITIONAL INFORMATION HAVE BEEN UNSUCCESSFUL TO DATE. A FOLLOW UP REPORT WILL BE SUBMITTED IF NEW INFORMATION IS RECEIVED.
Description of Event or Problem · 1
IT WAS REPORTED A PATIENT PRESCRIBED THE EXOGEN SYSTEM FOLLOWING FOOT SURGERY IN (B)(6) 2020, CONTRACTED AN INFECTION. SUBSEQUENTLY, THE PATIENT WAS REPORTED TO HAVE ELEVATED BLOOD PRESSURE AND PASSED AWAY THE SAME DAY. THE CAUSE OF PATIENTS' DEATH IS UNKNOWN. ADDITIONALLY IT IS UNKNOWN WHAT TYPE OF BACTERIA CAUSED THE REPORTED INFECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1498357 | EXOGEN ULTRASOUND BONE HEALING SYSTEM | EXOGEN | LOF | BIOVENTUS LLC | 71034400 | 20CM15740 | M937710344001G |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 44 YR | Death| O |