FDA Adverse Event Injury Summary report: N

ENDOTINE TRANSBLEPH

MDR report key: 2135703 · Received June 12, 2007

Report

Report Number
3003644133-2007-00006
Event Type
Injury
Date Received
June 12, 2007
Date of Event
May 24, 2007
Report Date
May 24, 2007
Manufacturer
COAPT SYSTEMS, INC.
Product Code
HWC
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE PHYSICIAN PUT ONE PT ON ANTIBIOTICS AND AFTER A WEEK, THE INFECTION SUBSIDED. THE SECOND PT TOLD THE PHYSICIAN ABOUT THE INFECTION ON HER ONE WEEK FOLLOW-UP. THE INFECTION WAS CULTURED AND IS (B)(6). THE BATCH RECORD FOR THE LOT USED WAS REVIEWED AND NO ANOMALIES WERE NOTED. THE LOT PASSED LAL TESTING AND A CERTIFICATE OF STERILIZATION WAS RECEIVED FROM THE CONTRACT STERILIZER. A REVIEW OF THE LOT HISTORY FOUND THAT NO PREVIOUS COMPLAINTS, INCLUDING COMPLAINTS FOR INFECTION WERE RECEIVED FOR THIS LOT. IT WAS CONCLUDED THAT THE PT COULD HAVE DEVELOPED FLUID ACCUMULATION WHICH SECONDARILY BECAME CONTAMINATED IF THE PT HAD SOME (B)(6) IN THE THROAT OR ON THE SKIN. THE SPECIFIC CAUSE OF THE INFECTIOUS REACTION COULD NOT BE DETERMINED. NO LINKAGE BETWEEN THE USE OF THE DEVICE AND THE INFECTION WAS FOUND.

Description of Event or Problem · 1

PHYSICIAN PERFORMED AN ENDOTINE TRANSBLEPH PROCEDURE. IN THE FIRST WEEK AFTER SURGERY, TWO PTS HAD AN INTENSE INFLAMMATORY RESPONSE WITH A COPIOUS LIQUID/PUS DRAINAGE OUT OF THE OPERATIVE SITE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENDOTINE TRANSBLEPH SMOOTH METALLIC BONE FIXATION FASTENER HWC COAPT SYSTEMS, INC. CFD-080-0167 01570

Patients

Seq Age Sex Outcome Treatment
1 Other