FDA Adverse Event Injury Summary report: N

CYTOPLAST REGENTEX TITANIUM 250

MDR report key: 7197990 · Received January 16, 2018

Report

Report Number
1650372-2018-00001
Event Type
Injury
Date Received
January 16, 2018
Report Date
April 5, 2018
Manufacturer
OSTEOGENICS BIOMEDICAL, INC.
Product Code
LYC
PMA / PMN Number
K972278
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
DENTIST

Narratives

Additional Manufacturer Narrative · 1

AT THIS TIME, COMPLETE INFORMATION IS NOT AVAILABLE IN SPITE OF EFFORTS TO OBTAIN FURTHER INFORMATION. CONTACT WAS MADE WITH THE DENTIST; HOWEVER, THE RESPONSE TIME HAS BEEN SLOW AND THE INFORMATION RECEIVED HAS BEEN INCOMPLETE AND UNCLEAR. THE INFORMATION GIVEN IN THIS REPORT IS ALL THE INFORMATION THAT HAS BEEN OBTAINED AT THIS TIME. THIS DEVICE WAS SOLD AND USED IN (B)(6). WE ARE SUBMITTING THIS REPORT TO BE CONSERVATIVE AND IN AN ABUNDANCE OF CAUTION.

Description of Event or Problem · 1

A SPONTANEOUS REPORT PERTAINING TO CYTOPLAST TITANIUM-REINFORCED PTFE MEMBRANE WAS RECEIVED FROM A DENTIST IN (B)(6) ON (B)(6) 2017. THE DENTIST STATED THAT HE USE A TITANIUM-REINFORCED MEMBRANE IN A BONE GRAFTING PROCEDURE AND REENTERED THE SITE AFTER 6 MONTHS. THE DENTIST STATED THAT THE SOFT TISSUE LOOKED NICE WITH NO DEHISCENCES BEFORE REOPENING THE SITE. WHEN THE FLAP WAS OPENED THERE WAS NO BONE AND THERE SEEMED TO BE AN INFECTION. THE DOCTOR ALSO STATED THAT THE MEMBRANE ITSELF SEEMED TO DISINTEGRATE. THIS HAS HAPPENED ON FOUR CASES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
41861 CYTOPLAST REGENTEX TITANIUM 250 NON-ABSORBABLE BARRIER MEMBRANE LYC OSTEOGENICS BIOMEDICAL, INC. TI150XLK-2 A117044

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention