FDA Adverse Event Other Summary report: N

OSIGRAFT

MDR report key: 3840775 · Received May 12, 2014

Report

Report Number
1224732-2014-00033
Event Type
Other
Date Received
May 12, 2014
Report Date
April 15, 2014
Manufacturer
OLLYMPUS BIOTECH
Product Code
MPY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ON (B)(6) 2014 OLYMPUS BIOTECH RECEIVED A REPORT THAT FIVE PATIENTS WHO RECEIVED OSIGRAFT AS PART OF AN UNSPECIFIED PROCEDURE SUBSEQUENTLY EXPERIENCED HETEROTOPIC OSSIFICATION. ONE OF THE PATIENTS EXPERIENCED HETEROTOPIC OSSIFICATION IN THE UPPER LIMB AND ANOTHER EXPERIENCED THE HETEROTOPIC OSSIFICATION IN THE FEMUR. THE FEEDBACK WAS PRESENTED AT AN ORTHOPAEDIC CONFERENCE HELD IN THE (B)(6). NO ADDITIONAL INFORMATION WAS PROVIDED WITH THE INITIAL REPORT. THE OLYMPUS BIOTECH MEDICAL REVIEWER ASSESSED THE EVENTS AS OF UNKNOWN SERIOUSNESS AND POSSIBLY RELATED TO THE OSIGRAFT. THIS AGGREGATE CASE HAS BEEN CREATED PENDING RECEIPT OF ADDITIONAL INFORMATION. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
283284 OSIGRAFT NONE MPY OLLYMPUS BIOTECH UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK