FDA Adverse Event
Malfunction
Summary report: N
RTI SURGICAL INC CORTIVA 9.2X19.2CM DMM140
MDR report key: 20255976
·
Received September 19, 2024
Report
- Report Number
- 20255976
- Event Type
- Malfunction
- Date Received
- September 19, 2024
- Date of Event
- September 11, 2024
- Report Date
- September 12, 2024
- Manufacturer
- RTI SURGICAL, INC. (DBA RTI BIOLOGICS, INC.)
- Product Code
- FTM
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MO
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
RESIDENT WAS SOAKING MEDICAL DEVICE, THEY NOTICED IT DIDN'T LOOK HOW IT SHOULD AND ASKED NURSE TO HAVE NEW DEVICE ON STANDBY. SURGEON SCRUBBED IN AND CONFIRMED GETTING RID OF FAULTY DEVICE AND OPENING NEW ONE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1502864 | RTI SURGICAL INC CORTIVA 9.2X19.2CM DMM140 | MESH, SURGICAL | FTM | RTI SURGICAL, INC. (DBA RTI BIOLOGICS, INC.) | 101137420 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |