FDA Adverse Event Other Summary report: N

OSIGRAFT (EPTOTERMIN ALFA)

MDR report key: 1981220 · Received January 31, 2011

Report

Report Number
1224732-2011-00001
Event Type
Other
Date Received
January 31, 2011
Date of Event
October 22, 2010
Report Date
January 11, 2011
Manufacturer
STRYKER BIOTECH
Product Code
MPY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ON (B)(6) 2011, STRYKER BIOTECH RECEIVED A REPORT THAT A PT (DEMOGRAPHICS UNK) DEVELOPED AN INCREASED MONOCYTE COUNT APPROX FIVE MONTHS AFTER UNDERGOING AN UNSPECIFIED PROCEDURE. NO ADD'L INFO WAS RECEIVED IN THE INITIAL REPORT. F/U INFO RECEIVED ON (B)(6) 2011 CONFIRMED THAT THE PT (B)(6), A (B)(6) FEMALE EXPERIENCED HIGH LEVELS OF MONOCYTES WITH AN ONSET DATE OF (B)(6) 2010. THE REPORTER STATED THAT HE DID NOT KNOW WHETHER THE ADVERSE EVENT WAS RELATED TO THE PRODUCT, BUT STATED THAT THE EVENT WAS NOT LIFE THREATENING, DID NOT REQUIRE HOSPITALIZATION, AND THAT IT DID NOT REQUIRE MEDICAL INTERVENTION. THE REPORTER ALSO STATED THAT HE DID NOT KNOW WHETHER THE PT HAD RECOVERED FROM THE EVENTS. FURTHER INFO HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OSIGRAFT (EPTOTERMIN ALFA) IMPLANT MPY STRYKER BIOTECH NA EU10027

Patients

Seq Age Sex Outcome Treatment
1 49 YR Other