FDA Adverse Event Other Summary report: N

BIOGLUE SURGICAL ADHESIVE

MDR report key: 515525 · Received March 11, 2004

Report

Report Number
1063481-2004-00003
Event Type
Other
Date Received
March 11, 2004
Report Date
February 9, 2004
Manufacturer
CRYOLIFE, INC.
Product Code
MFI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

A PT OF UNKNOWN AGE AND MEDICAL HISTORY UNDERWENT A LUMBER DISC SURGERY USING BIOGLUE SURGICAL ADHESIVE (NOT AN APPROVED INDICATION IN THE UNITED STATES) AT APPROXIMATELY THE BEGINNING OF JANUARY (SPECIFIC DATE UNKNOWN). ACCORDING TO THE SURGEON, THE PT EXPERIENCED LOWER EXTREMITY NUMBNESS POST-OPERATIVELY AND A RE-OPERATION WAS PERFORMED IN ORDER TO RELIEVE THE NERVE COMPRESSION. THE PT'S CURRENT CONDITION IS NOT KNOWN AND THE EVENT DETAILS ARE CURRENTLY BEING HANDLED BY RISK MANAGEMENT AT THE SURGICAL FACILITY. NO FURTHER INFORMATION ABOUT THE CASE HAD BEEN MADE AVAILABLE TO CRYOLIFE TO DATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BIOGLUE SURGICAL ADHESIVE SURGICAL ADHESIVE MFI CRYOLIFE, INC. NOT APPLICABLE UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Hospitalization| O