FDA Adverse Event Other Summary report: N

CONTOUR MENISCUS ARROW

MDR report key: 549021 · Received October 11, 2004

Report

Report Number
9613278-2004-00013
Event Type
Other
Date Received
October 11, 2004
Date of Event
September 10, 2004
Report Date
October 7, 2004
Manufacturer
LINVATEC BIOMATERIALS LTD.
Product Code
MAI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

INITIAL OPERATION IN 2004. POSTOPERATIVE ALLERGIC REACTION SUSPECTED, BUT CULTURE ENTEROCOCCUS FAECALIS IDENTIFIED IN WOUND. CULTURE OF UNUSED ARROW OF THE SAME LOT WAS NEGATIVE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CONTOUR MENISCUS ARROW BIOABSORBABLE SOFT TISSUE FIXATION DEVICE MAI LINVATEC BIOMATERIALS LTD. 541113 S1334

Patients

Seq Age Sex Outcome Treatment
1 22 YR Other