FDA Adverse Event
Malfunction
Summary report: N
GRAFTGUN CARTRIDGE KT
MDR report key: 21462077
·
Received February 25, 2025
Report
- Report Number
- 3012495575-2025-00001
- Event Type
- Malfunction
- Date Received
- February 25, 2025
- Date of Event
- January 29, 2025
- Report Date
- February 20, 2025
- Manufacturer
- SURGENTEC, LLC
- Product Code
- FMF
- UDI-DI
- 00858406007433
- PMA / PMN Number
- K180937
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
NA.
Description of Event or Problem · 0
REP SENT IN A USAGE SHEET WITH A CASE DATE ON (B)(6) 2025, WHICH INCLUDED THE GG-K-1000 WHICH HAD AN EXPIRATION DATE OF JANUARY 27TH, 2025. THE REP ALSO STATED THAT THIS WAS THE SIXTH CASE OF THE DAY SO WHEN SHE READ OUT THE EXPIRATION DATES, NO ONE NOTICED THAT THE EXPIRY DATE HAD PASSED. AT THE TIME OF SURGERY, IT DID NOT CAUSE ANY PATIENT HARM DURING THE CASE. THE PATIENT DID NOT STAY UNDER ANESTHESIA LONGER THAN INITIALLY REQUIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1075087 | GRAFTGUN CARTRIDGE KT | PISTON SYRINGE | FMF | SURGENTEC, LLC | GG-K-1000 | C2458821A | 00858406007433 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |