FDA Adverse Event Other Summary report: N

NEURAGEN NERVE GUIDE 3MM ID X 2CM LENGTH

MDR report key: 2111052 · Received May 17, 2011

Report

Report Number
1121308-2011-00014
Event Type
Other
Date Received
May 17, 2011
Date of Event
February 11, 2011
Report Date
May 17, 2011
Manufacturer
INTEGRA, PLAINSBORO
Product Code
JXI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE INVOLVED IN THE REPORTED INCIDENT IS NOT EXPECTED TO BE RECEIVED FOR EVAL. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFO.

Description of Event or Problem · 1

THE REPORTER STATED THAT NEURAGEN WAS IMPLANTED INTO A PT DURING A SURGICAL PROCEDURE AFTER THE LABEL EXPIRATION DATE. LOT 1090372 EXPIRES JAN 31, 2011 AND THE CASE WAS (B)(4), 2011.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEURAGEN NERVE GUIDE 3MM ID X 2CM LENGTH NEURAGEN JXI INTEGRA, PLAINSBORO 1090372

Patients

Seq Age Sex Outcome Treatment
1