FDA Adverse Event Other Summary report: N

OSTEOFILL ICM MOLDABLE STRIP

MDR report key: 640223 · Received October 6, 2005

Report

Report Number
3002719998-2005-00012
Event Type
Other
Date Received
October 6, 2005
Date of Event
September 8, 2005
Report Date
October 5, 2005
Manufacturer
REGENERATION TECHNOLOGIES, INC.
Product Code
LMO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

CERVICAL C6-7 OPEN REDUCTION WITH INTERNAL FIXATION WITH POSTERIOR SPINAL FUSION. OSTEOFILL 50 MM STRIP IMPLANTED. INFECTION DIAGNOSED 2005.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OSTEOFILL ICM MOLDABLE STRIP ALLOGRAFT BONE PASTE LMO REGENERATION TECHNOLOGIES, INC. 002350 101030790

Patients

Seq Age Sex Outcome Treatment
1 26 YR Other