FDA Adverse Event Injury Summary report: N

IFACTOR

MDR report key: 22835024 · Received August 18, 2025

Report

Report Number
3007155473-2025-25285
Event Type
Injury
Date Received
August 18, 2025
Report Date
August 18, 2025
Manufacturer
CERAPEDICS INC.
Product Code
NOX
PMA / PMN Number
P140019
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE MANUFACTURER INITIATED AN INVESTIGATION AND ATTEMPTED FOLLOW-UP WITH THE REPORTING HEALTHCARE PROFESSIONALS ON THREE OCCASIONS. NO ADDITIONAL INFORMATION WAS RECEIVED. A DEVICE HISTORY REVIEW COULD NOT BE PERFORMED DUE TO LACK OF LOT NUMBER. THE REPORTED FAILURE MODE IS ALREADY ADDRESSED IN THE PRODUCT'S RISK ASSESSMENT AND LISTED IN THE INSTRUCTIONS FOR USE. THE OBSERVED COMPLAINT RATE REMAINS CONSISTENT WITH THE ESTIMATED PROBABILITY FOR THIS FAILURE MODE. NO UPDATES TO LABELING OR RISK DOCUMENTATION ARE REQUIRED AT THIS TIME.

Description of Event or Problem · 0

ON JULY 21, 2025, THE MANUFACTURER RECEIVED A REPORT FROM A HEALTHCARE PROFESSIONAL REGARDING A PATIENT WHO UNDERWENT A POSTERIOR CERVICAL PROCEDURE AT THE C1-C2 LEVEL USING IFACTOR PUTTY. POSTOPERATIVELY, THE PATIENT DEVELOPED A CLEAR FLUID COLLECTION OR SEROMA. NO SURGICAL DRAIN WAS USED DURING THE PROCEDURE. NO ADDITIONAL CLINICAL DETAILS OR PATIENT OUTCOME INFORMATION WERE PROVIDED AT THE TIME OF THE REPORT, NOR WERE THEY AVAILABLE UPON FOLLOWUP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2194695 IFACTOR PUTTY NOX CERAPEDICS INC.

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention