inforMED
MalfunctionNUN

GRAFTON¿ DBM

Received Jul 10, 2025 · Event occurred May 6, 2021

Report 3002600221-2025-00001 · MDR key 22465837

Device

Generic name

Bone Grafting Material, Human Source

Model number

T42275JPN

Catalog number

T42275JPN

Product problems

  • Packaging Problem
  • Packaging Problem

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

H9 CORRECTION NUMBER: Z-1323-2023; Z-1324-2023; Z-1325-2023; Z-1326-2023; Z-1327-2023; Z-1328-2023; Z-1329-2023; Z-1330-2023; Z-1331-2023; Z-1332-2023; Z-1333-2023; Z-1334-2023. THIS REPORT IS BEING SUBMITTED AS PART OF REMEDIATION ACTIVITIES ASSOCIATED WITH CAPA # 643143, WHICH IS ADDRESSING MDR REPORTING GU IDANCE FROM FDAS 1995 PREAMBLE, WHICH ENSURES COMPLAINTS RELATED TO CORRECTIONS AND RECALLS WHICH WERE PREVIOUSLY REPORTED TO FDA UNDER 21 CFR 806 ARE NOW REPORTED AS MDRS; THIS IS NOT A NEW MALFUNCTION/EVENT. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem

INFORMATION WAS RECEIVED FROM MULTIPLE SOURCES (MANUFACTURER REPRESENTATIVE, HEALTHCARE PROVIDER, FOREIGN) REGARDING A PATIENT FOR SPINAL THERAPY. IT WAS REPORTED THAT AT THE TIME OF OPENING, THE INNERMOST SILVER PACK WAS SEALED ONLY ON ONE SIDE AND IT WAS IN OPEN STATE. WHEN THE PACKAGE WAS OPENED, THE SILVER PACK WAS NOT SEALED, SO THE CONTENTS FELL ONTO THE INSTRUMENT TABLE. THEREFORE, THE PRODUCT WAS NOT USED AND SURGICAL PATTIE WAS USED INSTEAD. THERE WAS NO PATIENT SYMPTOMS AND COMPLICATION REPORTED AS RESULT OF THIS EVENT.

Remedial action

  • Notification
  • Recall