FDA Adverse Event
Injury
Summary report: N
ORTHOBLAST II PUTTY, 5CC
MDR report key: 694456
·
Received March 29, 2006
Report
- Report Number
- 2090010-2006-00002
- Event Type
- Injury
- Date Received
- March 29, 2006
- Date of Event
- March 20, 2006
- Report Date
- March 24, 2006
- Manufacturer
- ISOTIS ORTHOBIOLOGICS, INC
- Product Code
- LYC
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
HOSP. RECEIVED A REPORT THAT A PT WHO HAD CALCANEAL ORIF SURGERY IN AUGUST 2005 HAS AN ONGOING INFECTION. THE PT WAS IMPLANTED WITH ISOTIS ORTHOBIOLOGICS' ORTHOBLAST II PUTTY, 5CC, LOT: 510319/050366 PLUS CANCELLOUS BONE FROM COMMUNITY TISSUE SERVICES. INFECTION WAS REPORTED AS METHICILLIN-RESISTANCE STAPHYLOCOCCUS AUREUS. THE PT IS BEING TREATED WITH ANTIBIOTICS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ORTHOBLAST II PUTTY, 5CC | DEMINERALIZED BONE MATRIX | LYC | ISOTIS ORTHOBIOLOGICS, INC | NA | 510319 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |