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