inforMED
InjuryMBP

GRAFTON DBM MATRIX PLF

Received Nov 19, 2013 · Event occurred Oct 8, 2013

Report 2246640-2013-00026 · MDR key 3477547

Device

Generic name

Filler, Bone Void, Osteoinduction (w/o Human Growth Factor)

Model number

T42210

Catalog number

T42210

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

00046 YR

  • Pain
  • Seroma

Narrative

Description of Event or Problem

IT WAS REPORTED THAT A PATIENT RECEIVED ALLOGRAFT BONE VOID FILLER DURING A LUMBAR FUSION (L4 - L5). APPROXIMATELY ONE WEEK LATER, DUE TO "INCREASED BACK AND LEG PAIN" AFTER SURGERY, AND "FLUID COLLECTION (SEROMA) ON MRI," THE PATIENT WAS TAKEN BACK INTO SURGERY FOR I & D. THERE WAS NO REPORT OF INFECTION. AT THE TIME OF THIS REPORT THE PATIENT WAS "DOING GREAT," AND IT WAS REPORTED THAT THE SURGEON DID NOT SEEM TO THINK THIS INCIDENT WAS DUE TO THE ALLOGRAFT IMPLANT.

Additional Manufacturer Narrative

(B)(6). (B)(4). THE MANUFACTURING RECORDS FOR THE LOT OF PRODUCT WERE REVIEWED, AND INDICATED THAT THE GRAFT WAS MANUFACTURED ACCORDING TO PROCEDURE AND MET ALL REQUIRED SPECIFICATIONS. NO ADDITIONAL REPORTS OF THIS NATURE HAVE BEEN RECEIVED INVOLVING ANY OTHER GRAFTS FROM THE SUBJECT LOT. IT WAS REPORTED THAT THE SURGEON DID NOT SEEM TO THINK THIS INCIDENT WAS DUE TO THE ALLOGRAFT IMPLANT.