FDA Adverse Event Malfunction Summary report: N

CESPACE BONE CORT CAN 9X14X11.5MM LORDO

MDR report key: 5686617 · Received May 27, 2016

Report

Report Number
3005673311-2016-00090
Event Type
Malfunction
Date Received
May 27, 2016
Date of Event
April 28, 2016
Report Date
March 23, 2017
Manufacturer
CONTRACT MANUFACTURER: RTI SURGICAL
Product Code
JDN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

REVIEW OF DOCUMENTATION INDICATED THAT THIS ISSUE WAS RELATED TO INTERNAL PRODUCTION OF "SETS" AT AESCULAP INC. CORRECTIVE/PREVENTIVE ACTION WAS INITIATED AT AESCULAP INC. TO ENSURE THIS ISSUE DOES NOT RECUR.

Description of Event or Problem · 1

SALES REPRESENTATIVE RECEIVED SETS CONTAINING EXPIRED ALLOGRAFT ON (B)(6) 2016 FOR USE IN A CASE. THE SETS CONTAINED ADEQUATE PRODUCT TO COMPLETE THE SURGERY AS PLANNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
339837 CESPACE BONE CORT CAN 9X14X11.5MM LORDO ALLOGRAFT JDN CONTRACT MANUFACTURER: RTI SURGICAL ME649 101086323

Patients

Seq Age Sex Outcome Treatment
1 Other