inforMED
InjuryMBP

GRAFTON DBM PUTTY, 1.0CC

Received Sep 10, 2012 · Event occurred Aug 23, 2011

Report 2246640-2012-00022 · MDR key 2758365

Device

Generic name

Demineralized Bone Matrix Allograft

Manufacturer

Osteotech, Inc.

Catalog number

A43102

Lot number

OTSCT0818574035

Product problems

  • Nonstandard Device

Patient

Not reported

  • Fluid Discharge

Narrative

Description of Event or Problem

IT WAS REPORTED VIA MAUDE EVENT REPORT THAT A PT HAD RECEIVED A BONE VOID FILLER ALLOGRAFT DURING AN OPEN REDUCTION INTERNAL FIXATION (ORIF) PROCEDURE FOR A NON-UNION OF THE LEFT ULNA. THE PT WAS READMITTED TO THE HOSP APPROX 8 WEEKS LATER FOR AN INCISION AND DRAINAGE (I AND D) OF THE LEFT ULNA, "WHERE A COPIOUS AMOUNT OF GRAY FLUID WAS EVACUATED AS DOCUMENTED BY SURGEON." NO ADD'L PT OR CLINICAL INFO WAS PROVIDED.

Additional Manufacturer Narrative

THIS MEDWATCH FORM WAS COMPLETED WITH THE INFO RECEIVED ON THE MAUDE EVENT REPORT. ANY MISSING OR INCOMPLETE DATA IS THE RESULT OF THE INFO NOT HAVING BEEN PROVIDED ON THE REPORT. MULTIPLE ATTEMPTS WERE MADE TO OBTAIN ADD'L PT INFO FROM THE LISTED INITIAL REPORTER, THOUGH NONE WAS PROVIDED. THIS ADVERSE EVENT WAS REPORTED FOLLOWING A RETROSPECTIVE REVIEW OF RELATED PT INJURIES REQUESTED BY OSTEOTECH/MEDTRONIC AS PART OF THE ABOVE REFERENCED VOLUNTARY RECALL. THIS EVENT WAS NOT REPORTED TO THE COMPANY AT THE TIME THE INCIDENT ORIGINALLY OCCURRED. THE MFG AND LABORATORY TESTING RECORDS FOR THE SUBJECT GRAFT WERE REVIEWED, AND INDICATED THAT THE PRODUCT WAS MFG ACCORDING TO PROCEDURE AND MET ALL REQUIRED SPECS AND RELEASE CRITERIA. DONOR SUITABILITY RECORDS WERE REVIEWED AND THE DONOR WAS CONFIRMED TO BE ELIGIBLE FOR TRANSPLANTATION. THE TISSUE RECOVERY ORGANIZATION WHICH PROVIDED THE DONOR TISSUE TO OSTEOTECH WAS NOTIFIED OF THIS INCIDENT, AND NO ADD'L REPORTS OF THIS NATURE HAVE BEEN RECEIVED BY THE RECOVERY ORGANIZATION, OR BY OSTEOTECH, INVOLVING THIS DONOR TISSUE. BASED ON THESE FINDINGS, OSTEOTECH'S MEDICAL DIRECTOR HAS CONCLUDED THAT THERE IS NO MEDICAL EVIDENCE TO INDICATE THAT THE GRAFT WAS THE PROXIMATE CAUSE OF THE ADVERSE EVENT. NO FURTHER ACTION IS REQUIRED, AND THIS INCIDENT IS CONSIDERED CLOSED.

Remedial action

  • Other