FDA Adverse Event Injury Summary report: N

OSTENE

MDR report key: 2465187 · Received February 21, 2012

Report

Report Number
3004961344-2012-00001
Event Type
Injury
Date Received
February 21, 2012
Date of Event
February 8, 2012
Report Date
February 20, 2012
Manufacturer
CEREMED
Product Code
MTJ
PMA / PMN Number
K050440
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE DOCTOR WHO PERFORMED THE SURGERY CONCLUDED THAT OSTENE WAS NOT THE CAUSE OF THE EPIDURAL HEMATOMA AND THEREFORE, NO ADDITIONAL INFORMATION WAS PROVIDED. THIS IS BEING FILED OUT OF AN ABUNDANCE OF CAUTION AS THERE IS NO EVIDENCE AT THIS TIME THAT OSTENE WAS THE CAUSE OF THE EPIDURAL HEMATOMA.

Description of Event or Problem · 1

OSTENE 2.5G USED DURING LUMBAR DECOMPRESSION SURGERY. ISSUES CAM UP CAUSING SECOND SURGERY (EPIDURAL HEMATOMA). SCRUB TECH THOUGHT IT MIGHT HAVE BEEN CAUSED BY OSTENE, BUT SURGEON THOUGHT EPIDURAL HEMATOMA WAS NOT CAUSED BY OSTENE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OSTENE OSTENE MTJ CEREMED BW-012 5267

Patients

Seq Age Sex Outcome Treatment
1 UNK Other