FDA Adverse Event
Injury
Summary report: N
FIBERGRAFT AERIDYAN MATRIX
MDR report key: 18565646
·
Received January 23, 2024
Report
- Report Number
- 3011015097-2024-00002
- Event Type
- Injury
- Date Received
- January 23, 2024
- Report Date
- January 23, 2024
- Manufacturer
- PROSIDYAN, INC.
- Product Code
- MQV
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT A PATIENT THAT HAD BEEN IMPLANTED WITH FIBERGRAFT AERIDYAN HAD AN INFECTION. NO ADDITIONAL INFORMATION WAS PROVIDED. THERE IS NO EVIDENCE THAT THE INFECTION WAS DUE TO FIBERGRAFT AERIDYAN, BUT THIS COMPLAINT IS BEING REPORTED OUT OF AN ABUNDANCE OF CAUTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 839635 | FIBERGRAFT AERIDYAN MATRIX | RESORBABLE CALCIUM SALT BONE VOID FILLER DEVICE | MQV | PROSIDYAN, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Other |