FDA Adverse Event
Other
Summary report: N
OSTEOSELECT DBM PUTTY
MDR report key: 3042544
·
Received February 19, 2013
Report
- Report Number
- 3005168462-2013-00005
- Event Type
- Other
- Date Received
- February 19, 2013
- Date of Event
- July 12, 2012
- Report Date
- February 19, 2013
- Manufacturer
- BACTERIN INTERNATIONAL INC.
- Product Code
- MQV
- PMA / PMN Number
- K091321
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
EXPIRED TISSUE WAS RETRIEVED AND WAS DISCARDED.
Description of Event or Problem · 1
EXPIRED DBM PUTTY WAS INADVERTENTLY DISTRIBUTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 73193 | OSTEOSELECT DBM PUTTY | DEMINERALIZED BONE MATRIX | MQV | BACTERIN INTERNATIONAL INC. | 2.5CC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |