FDA Adverse Event Other Summary report: N

NEURAGEN NERVE GUIDE 4MM ID X 3CM LENGTH

MDR report key: 1576598 · Received January 11, 2010

Report

Report Number
1121308-2010-00001
Event Type
Other
Date Received
January 11, 2010
Date of Event
December 21, 2009
Report Date
January 11, 2010
Manufacturer
INTEGRA LIFESCIENCES CORP.
Product Code
JXI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE INVOLVED IN THE REPORTED INCIDENT IS NOT EXPECTED TO BE RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFORMATION.

Description of Event or Problem · 1

THE REPORTER STATED THAT THE PRODUCT THAT HAD A LOT EXPIRATION DATE OF 07/2009 WAS IMPLANTED DURING A SURGICAL PROCEDURE THAT WAS DONE ON (B)(6) 2009. THE SURGERY ON THE RIGHT WRIST INVOLVED A REPAIR OF THE DIGITAL NERVE. THERE HAS BEEN NO ADVERSE OUTCOME FOR THE PATIENT REPORTED TO DATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEURAGEN NERVE GUIDE 4MM ID X 3CM LENGTH NEURAGEN JXI INTEGRA LIFESCIENCES CORP. 1072143

Patients

Seq Age Sex Outcome Treatment
1 62 YR COMPRESSION PLATE| SCREWS