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 |