FDA Adverse Event Other Summary report: N

GRAFTON PLUS DBM PASTE

MDR report key: 1943744 · Received December 17, 2010

Report

Report Number
2246640-2010-00003
Event Type
Other
Date Received
December 17, 2010
Date of Event
January 1, 2010
Report Date
November 17, 2010
Manufacturer
OSTEOTECH, INC.
Product Code
MBP
PMA / PMN Number
K043048
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ON (B)(6) 2010, A DISTRIBUTOR OUTSIDE OF THE U.S. REPORTED THAT A PT, WHO HAD UNDERGONE A "SCOLIOSIS-RELATED DEFORMITY CORRECTION" IN (B)(6) 2010 USING GRAFTON PASTE, HAD EXPERIENCED A POST-OPERATIVE INFLAMMATORY REACTION WITH "LOCAL OOZING FROM THE WOUND". NO ADD'L DETAILS ABOUT THE CASE WERE KNOWN OR PROVIDED BY THE INITIAL REPORTER. NO LOT INFO WAS PROVIDED. A LIST OF DETAILED F/U QUESTIONS HAS BEEN SUBMITTED TO THE INITIAL REPORTER, AND WE HAVE MADE MULTIPLE UNSUCCESSFUL F/U ATTEMPTS WITH THE DISTRIBUTOR TO OBTAIN THE INFO (ON (B)(6) 2010). IT IS UNK AT THIS TIME IF THE EVENT NECESSITATED ANY SUBSEQUENT MEDICAL OR SURGICAL INTERVENTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GRAFTON PLUS DBM PASTE BONE VOID FILLER, OSTEOINDUCTIVE MBP OSTEOTECH, INC. UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 Other