FDA Adverse Event Injury Summary report: N

CERAMENT BONE VOID FILLER

MDR report key: 19189437 · Received April 26, 2024

Report

Report Number
3005304945-2024-00002
Event Type
Injury
Date Received
April 26, 2024
Date of Event
January 14, 2024
Report Date
March 29, 2024
Manufacturer
BONESUPPORT AB
Product Code
MQV
UDI-DI
07350055430035
PMA / PMN Number
K201535
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MLOT1151 (A0210-08, CERAMENT BONE VOID FILLER), MANUFACTURING DATE: 09/14/2023, EXPIRATION DATE: 02/09/2027. MANUFACTURER BATCH INVESTIGATION: REVIEW OF BATCH RECORDS FOR MLOT1151 INCLUDING QUALITY RELEASE RESULTS HAS BEEN PERFORMED. ALL RESULTS FROM RELEASE TESTS WERE WITHIN LIMITS. THE FIRST DEVICE FROM THE BATCH WAS SOLD IN 10/04/2023, 482 DEVICES OF THE TOTAL BATCH SIZE OF 629 DEVICES HAVE BEEN SOLD. NO OTHER SIMILAR COMPLAINTS HAVE BEEN RECEIVED FOR THE BATCH. THE MEDICAL INVESTIGATION OF THE COMPLAINT WILL BE SUBMITTED IN A FOLLOW-UP REPORT AFTER RECIEVING ADDITIONAL DATA FROM THE RESPONSIBLE PHYSICIAN. THIS INFORMATION WAS ADDED ON 19TH JUNE 2024: ADDITIONAL INFORMATION WAS RECEIVED FROM THE SUREGON 24TH APRIL 2024, THEREAFTER A MEDICAL INVESTIGATION WAS PERFORMED. CONCLUSION OF MEDICAL INVESTIGATION: THE INFORMATION TO THIS COMPLAINT IS SUFFICIENT TO DRAW SOME CONCLUSIONS. "WHITE DRAINAGE" IS A WELL-KNOWN OCCURRENCE IN CALCIUM-BASED BONE VOID FILLERS. THE INCIDENT CONSIDERED IS AN EXPECTED AND FORESEEABLE EFFECT WHICH WAS DESCRIBED IN THE RISK ASSESSMENT AND IN THE INSTRUCTIONS FOR USE FOR CERAMENT BONE VOID FILLER. USUALLY, SURGICAL REVISION IS NOT NECESSARY IN THE ABSENCE OF SIGNS OF RECURRENT INFECTION, BUT THE WOUND WAS INFECTED, AND REOPERATION WAS NEEDED. THE WOUND HEALED AND THE PATIENT IS NOW DOING WELL. THE PRODUCT WAS USED IN A REASONABLE WAY. THE PATIENT HAD COMPLICATIONS WHICH RESULTED IN A REOPERATION, AND ALTHOUGH THE INCIDENT IS CONSIDERED AS EXPECTED AND FORESEEABLE EVENT WHICH IS DESCRIBED IN THE RISK ASSESSMENT AND THE INSTRUCTIONS FOR USE FOR CERAMENT BONE VOID FILLER. IT WAS DECIDED TO PERFORM SOME FURTHER INVESTIGATIONS AT BONESUPPORT, THEREFORE A SAFETY RELATED CAPA (CAPA-0166) WAS INITIATED. SEE ATTACHMENT FOR COMPLETE MEDICAL INVESTIGATION REPORT. THIS INFORMATION WAS ADDED ON THE 10TH JULY 2024: INVESTIGATIONS ARE STILL ONGOING AT BONESUPPORT, WITHIN CAPA-0166 AS REFERRED ABOVE.

Additional Manufacturer Narrative · 0

THE ROOT-CAUSE INVESTIGATION CONCLUDED THAT THE PRODUCT HAS NOT MALFUNCTIONED AND NOT FOLLOWING THE PRECAUTION DEFINED IN THE INSTRUCTION FOR USE, IFU-0007-12 SEEMS TO BE THE MOST LIKELY CAUSE FOR WHITE-DRAINAGE AND THEREBY RE-OPERATION IN THIS CASE. THERE IS A PRECAUTION IN THE IFU007-12 STATING: "IN ANEURYSMAL BONE CYSTS (ABCS) AND OTHER BONE CYSTS PRONE TO PRODUCING LARGE VOLUMES OF FLUID, THERE IS INCREASED RISK OF WOUND DRAINAGE, SOFT-TISSUE INFLAMMATION AND WOUND BREAKDOWN IF TREATED BY OPEN SURGERY. USE CERAMENT BONE VOID FILLER IN BEAD FORM RATHER THAN COMPLETE VOID FILLING FOR THESE INDICATIONS." AND EVEN THOUGH WHITE DRAINAGE IS A WELL-KNOWN OCCURRENCE IN CALCIUM-BASED BONE VOID FILLERS. THE USE OF CERAMENT BONE VOID FILLER IN BEAD FORM MIGHT HAVE LED TO A LESS SEVERE COMPLICATION.

Additional Manufacturer Narrative · 0

MLOT1151 (A0210-08, CERAMENT BONE VOID FILLER), MANUFACTURING DATE: 09/14/2023, EXPIRATION DATE: 02/09/2027. MANUFACTURER BATCH INVESTIGATION: REVIEW OF BATCH RECORDS FOR MLOT1151 INCLUDING QUALITY RELEASE RESULTS HAS BEEN PERFORMED. ALL RESULTS FROM RELEASE TESTS WERE WITHIN LIMITS. THE FIRST DEVICE FROM THE BATCH WAS SOLD IN (B)(6) 2023, (B)(4). NO OTHER SIMILAR COMPLAINTS HAVE BEEN RECEIVED FOR THE BATCH. THE MEDICAL INVESTIGATION OF THE COMPLAINT WILL BE SUBMITTED IN A FOLLOW-UP REPORT AFTER RECIEVING ADDITIONAL DATA FROM THE RESPONSIBLE PHYSICIAN. THIS INFORMATION WAS ADDED ON 19TH JUNE 2024: ADDITIONAL INFORMATION WAS RECEIVED FROM THE SUREGON 24TH APRIL 2024, THEREAFTER A MEDICAL INVESTIGATION WAS PERFORMED. CONCLUSION OF MEDICAL INVESTIGATION: THE INFORMATION TO THIS COMPLAINT IS SUFFICIENT TO DRAW SOME CONCLUSIONS. "WHITE DRAINAGE" IS A WELL-KNOWN OCCURRENCE IN CALCIUM-BASED BONE VOID FILLERS. THE INCIDENT CONSIDERED IS AN EXPECTED AND FORESEEABLE EFFECT WHICH WAS DESCRIBED IN THE RISK ASSESSMENT AND IN THE INSTRUCTIONS FOR USE FOR CERAMENT BONE VOID FILLER. USUALLY, SURGICAL REVISION IS NOT NECESSARY IN THE ABSENCE OF SIGNS OF RECURRENT INFECTION, BUT THE WOUND WAS INFECTED, AND REOPERATION WAS NEEDED. THE WOUND HEALED AND THE PATIENT IS NOW DOING WELL. THE PRODUCT WAS USED IN A REASONABLE WAY. THE PATIENT HAD COMPLICATIONS WHICH RESULTED IN A REOPERATION, AND ALTHOUGH THE INCIDENT IS CONSIDERED AS EXPECTED AND FORESEEABLE EVENT WHICH IS DESCRIBED IN THE RISK ASSESSMENT AND THE INSTRUCTIONS FOR USE FOR CERAMENT BONE VOID FILLER. IT WAS DECIDED TO PERFORM SOME FURTHER INVESTIGATIONS AT BONESUPPORT, THEREFORE A SAFETY RELATED CAPA (CAPA-0166) WAS INITIATED. SEE ATTACHMENT FOR COMPLETE MEDICAL INVESTIGATION REPORT.

Additional Manufacturer Narrative · 0

MLOT1151 (A0210-08, CERAMENT BONE VOID FILLER), MANUFACTURING DATE: 09/14/2023, EXPIRATION DATE: 02/09/2027. MANUFACTURER BATCH INVESTIGATION: REVIEW OF BATCH RECORDS FOR MLOT1151 INCLUDING QUALITY RELEASE RESULTS HAS BEEN PERFORMED. ALL RESULTS FROM RELEASE TESTS WERE WITHIN LIMITS. THE FIRST DEVICE FROM THE BATCH WAS SOLD IN (B)(6) 2023, (B)(4) DEVICES OF THE TOTAL BATCH SIZE OF (B)(4) DEVICES HAVE BEEN SOLD. NO OTHER SIMILAR COMPLAINTS HAVE BEEN RECEIVED FOR THE BATCH. THE MEDICAL INVESTIGATION OF THE COMPLAINT WILL BE SUBMITTED IN A FOLLOW-UP REPORT AFTER RECEIVING ADDITIONAL DATA FROM THE RESPONSIBLE PHYSICIAN.

Description of Event or Problem · 0

POST-OPERATIVELY THE INCISION HEALED NICELY THEN WEEKS LATER THE INCISION OPENED AND STARTED DRAINING LIQUID CERAMENT. ON SECOND OPERATION, ALL OF THE CERAMENT WITHIN THE CAVITY WAS LIQUID - NOT SOLID. RETURN TO OPERATING ROOM TO REMOVE CERAMENT AND RE-CLOSE THE INCISION. UNNECESSARY ANESTHESIA, COST OF RE-OPERATION. INFECTION (MRSA) DUE TO OPEN WOUND REQUIRING LONG TERM ANTIBIOTICS. SIGNIFICANT DELAY IN PATIENT'S ABILITY TO RETURN TO ACTIVITY.

Description of Event or Problem · 0

POST-OPERATIVELY THE INCISION HEALED NICELY THEN WEEKS LATER THE INCISION OPENED AND STARTED DRAINING LIQUID CERAMENT. ON SECOND OPERATION, ALL OF THE CERAMENT WITHIN THE CAVITY WAS LIQUID - NOT SOLID. RETURN TO OPERATING ROOM TO REMOVE CERAMENT AND RE-CLOSE THE INCISION. UNNECESSARY ANESTHESIA, COST OF RE-OPERATION. INFECTION (MRSA) DUE TO OPEN WOUND REQUIRING LONG TERM ANTIBIOTICS. SIGNIFICANT DELAY IN PATIENT'S ABILITY TO RETURN TO ACTIVITY.

Description of Event or Problem · 0

POST-OPERATIVELY THE INCISION HEALED NICELY THEN WEEKS LATER THE INCISION OPENED AND STARTED DRAINING LIQUID CERAMENT. ON SECOND OPERATION, ALL OF THE CERAMENT WITHIN THE CAVITY WAS LIQUID - NOT SOLID. RETURN TO OPERATING ROOM TO REMOVE CERAMENT AND RE-CLOSE THE INCISION. UNNECESSARY ANESTHESIA, COST OF RE-OPERATION. INFECTION (MRSA) DUE TO OPEN WOUND REQUIRING LONG TERM ANTIBIOTICS. SIGNIFICANT DELAY IN PATIENT'S ABILITY TO RETURN TO ACTIVITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2126483 CERAMENT BONE VOID FILLER CERAMENT BONE VOID FILLER MQV BONESUPPORT AB A0210-08 MLOT1151 07350055430035

Patients

Seq Age Sex Outcome Treatment
1 17 YR Female Required Intervention| H