FDA Adverse Event Other Summary report: N

ACCELL CONNEXUS, 1CC

MDR report key: 669582 · Received January 27, 2006

Report

Report Number
2090010-2005-00004
Event Type
Other
Date Received
January 27, 2006
Date of Event
December 15, 2005
Report Date
December 27, 2005
Manufacturer
ISOTIS ORTHOBIOLOGICS, INC
Product Code
MBO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SEROLOGICAL REPORTS WERE REVIEWED FOR THE DONOR BONE USED IN THE ISOTIS PRODUCT. REPORT INDICATES NON-REACTIVE FOR HEPATITIS B AND C. CONTACTED THE TISSUE BANK AND VERIFIED THE REPORT. OBTAINED THE SEROLOGY REPORT FOR THE DONOR OF THE ILIAC CREST WEDGES, ALL TESTS WERE NON-REACTIVE.

Description of Event or Problem · 1

PT HAD SPINAL SURGERY IN 2005, IS DOING WELL AND IS ASYMPTOMATIC. PRIMARY CARE PHYSICIAN REPORTED TO ORTHOPEDIC SURGEON THAT THE PT HAS DEVELOPED ANTIBODIES FOR HEPATITIS B AND C. THE ORTHOPEDIC SURGEON REPORTED THIS TO THE TISSUE BANK MGR AT THE HOSP. THE TB MGR CALLED ISOTIS ORTHOBIOLOGICS REQUESTING SEROLOGY REPORTS FOR THE CONNEXUS PRODUCTS USED. TB MGR INFORMED ISOTIS ORTHOBIOLOGICS THAT THE SURGEON ALSO USED 2 ILIAC CREST WEDGES DONATED FROM A SINGLE DONOR IN THIS SURGICAL PROCEDURE. HE HAD ALSO REQUESTED THE SEROLOGICAL REPORTS FROM THE TISSUE BANK THAT SUPPLIED THE ILIAC CREST WEDGES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCELL CONNEXUS, 1CC DEMINERALIZED BONE MATRIX PRODUCT MBO ISOTIS ORTHOBIOLOGICS, INC CONNEXUS 1CC 510187

Patients

Seq Age Sex Outcome Treatment
1 * Other