FDA Adverse Event Injury Summary report: N

OSTENE

MDR report key: 2135877 · Received April 14, 2008

Report

Report Number
3004961344-2008-00001
Event Type
Injury
Date Received
April 14, 2008
Date of Event
April 2, 2008
Report Date
April 11, 2008
Manufacturer
CEREMED, INC.
Product Code
MTJ
PMA / PMN Number
K041363
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE PT DEVELOPED ANAPHYLAXIS SHOCK DURING CARDIAC SURGERY. THE PT WAS STABILIZED AND THE SURGERY COMPLETED. ANAPHYLAXIS SHOCK IS A WELL-KNOWN BUT UNCOMMON REACTION DURING SURGERY. SEVERAL VARIABLES HAVE THE POTENTIAL FOR CAUSING THE CONDITION WHICH CAN INCLUDE ALLERGIES TO CERTAIN ANTIBIOTICS OR LATEX. OSTENE IS A WATER-SOLUBLE IMPLANT MATERIAL USED FOR THE CONTROL OF BLEEDING FROM BONE SURFACES. OSTENE IS NON-TOXIC AND CAUSES NO KNOWN ALLERGIC REACTIONS AS DEMONSTRATED BY THE BIOCOMPATIBILITY TESTING LISTED ON PAGE 1. IT DISSOLVES AND IS DISCHARGED THROUGH THE LIVER AND KIDNEYS. ACCORDING TO THE INFO PROVIDED BY THE SURGEON AND THE BIOCOMPATIBILITY TEST DATA AVAILABLE, IT IS OUR BELIEF THAT OSTENE WAS NOT THE CAUSE OF THE EVENT.

Description of Event or Problem · 1

A (B)(6) FEMALE PT SUFFERED FROM ANAPHYLACTIC SHOCK DURING CARDIAC SURGERY. THE PT'S SKIN CHANGED IN STRUCTURE AND IMMEDIATE ATTENTION WAS REQUIRED TO STABILIZE HER. ACCORDING TO THE SURGEON, THIS IS A PHENOMENA THAT HE HAS SEEN BEFORE WITHOUT THE USE OF OSTENE. THE PT WAS STABILIZED AND THE SURGERY COMPLETED WITHOUT FURTHER COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OSTENE AOC BONE WAX MTJ CEREMED, INC. BW-012 W1530806

Patients

Seq Age Sex Outcome Treatment
1 65 YR Life Threatening| R