FDA Adverse Event
Malfunction
Summary report: N
DYNACLIP
MDR report key: 21251387
·
Received January 28, 2025
Report
- Report Number
- 21251387
- Event Type
- Malfunction
- Date Received
- January 28, 2025
- Date of Event
- December 12, 2024
- Report Date
- January 16, 2025
- Manufacturer
- MEDSHAPE, INC.
- Product Code
- JDR
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- AZ
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
WHEN OPENING AN IMPLANT FOR PATIENT, THE REGISTERED NURSE (RN) CHECKED THE EXPIRATION DATE ON THE OUTER BOX AND THE INNER PACKAGE AND IT SHOWED 12.31.24, BUT WHEN THE RN WENT TO SCAN THE IMPLANT INTO EPIC, AN EXPIRATION DATE OF 12.1.24 SHOWED UP. THE DECISION WAS MADE TO USE THE IMPLANT BECAUSE ALL OF THE PACKAGING SHOWED THE IMPLANT WAS NOT EXPIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2397026 | DYNACLIP | STAPLE, FIXATION, BONE | JDR | MEDSHAPE, INC. | 5086 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 51 YR | Unknown |