inforMED

GRAFTON DBM

Received Dec 4, 2013

Report 2246640-2013-00028 · MDR key 3499801

Device

Generic name

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

Model number

NOT REPORTED

Catalog number

NOT REPORTED

Lot number

NOT REPORTED

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

Not reported

  • Pain

Narrative

Additional Manufacturer Narrative

THIS MEDWATCH REPORT WAS COMPLETED USING THE INFORMATION PROVIDED BY THE INITIAL REPORTER. ANY MISSING OR INCOMPLETE DATA IS THE RESULT OF THE INFORMATION NOT HAVING BEEN PROVIDED BY THE INITIAL REPORTER. (B)(6). (B)(4). NO REVIEW OF THE APPLICABLE DEVICE HISTORY RECORDS WAS POSSIBLE WITHOUT ADDITIONAL DEVICE INFORMATION. NO TRENDS IN REPORTS OF THIS NATURE HAVE BEEN IDENTIFIED. A DEFINITIVE CAUSE FOR THE REPORTED EVENT CANNOT, THEREFORE, BE DETERMINED.

Description of Event or Problem

PATIENT CONTACTED THE MANUFACTURER AND STATED THAT SHE HAD RECEIVED ALLOGRAFT BONE VOID FILLER DURING A CERVICAL FUSION (C4-C6) IN (B)(6), 2012, AND 16 MONTHS POST-OP REPORTS HAVING "KNOTS AND PAIN" AND "BONE SPURS" IN HER NECK. NO MEDICAL OR SURGICAL INTERVENTION WAS REPORTED. PATIENT DID NOT PROVIDE ANY ADDITIONAL INFORMATION.