FDA Adverse Event
Malfunction
Summary report: N
BONE WAX WHITE
MDR report key: 16416418
·
Received February 22, 2023
Report
- Report Number
- 16416418
- Event Type
- Malfunction
- Date Received
- February 22, 2023
- Date of Event
- February 3, 2023
- Report Date
- February 13, 2023
- Manufacturer
- SURGICAL SPECIALTIES MÉXICO, S. DE R.L. DE C.V.
- Product Code
- MTJ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- UT
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
SURGICAL SPECIALTIES BONE WAX WHITE (REF 903; LOT #C318TWO; EXP 02/17/2027). THIS BONE WAX WAS COMPLETELY DRY AND BRITTLE WHEN OPENED ONTO THE STERILE FIELD. WE OPENED FOUR MORE PACKAGES OF THE SAME LOT #. ALL PACKAGES WERE DRY AND BRITTLE. WE ENDED UP HAVING TO OPEN A NEW BOX WITH A DIFFERENT LOT # TO GET A GOOD PLIABLE WAX.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1227475 | BONE WAX WHITE | WAX,BONE | MTJ | SURGICAL SPECIALTIES MÉXICO, S. DE R.L. DE C.V. | 903 | C318TWO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |