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 |