inforMED

MEDTRONIC GRAFTON ALLOGRAFT PUTTY

Received May 5, 2014 · Event occurred Apr 25, 2014

Report MW5035950 · MDR key 3802973

Device

Generic name

Filler Bone Allograft Putty

Manufacturer

Medtronic

Model number

T43I05

Catalog number

T43I05

Product problems

  • Insufficient Device Problem Information

Patient

19 YR

  • Cellulitis
  • Purulent Discharge
  • Erythema
  • Post Operative Wound Infection

Narrative

Description of Event or Problem

PT DEVELOPED A SURGICAL SITE INFECTION FOLLOWING LEFT KNEE ARTHROSCOPY WITH REMOVAL OF LOOSE OCD LESION; CHONDROPLASTY PATELLA AND TROCHLEA; OPEN ANTERIOR MEDIALIZATION TIBIAL TUBERCLE WITH DISTALIZATION 8MM (3 X 4.5 MM LOW PROFILE CORTICAL SCREWS); BONE GRAFTING AT TIBIAL TUBERCLE DEFECT SITE; OPEN EXCISION MEDIA PATELLAR EXOSTOSIS; OPEN REPAIR PATELLAR SIDED MPFL/MEDICAL RETINACULUM. SSI EVIDENT ON (B)(6) 2014. SYMPTOMS INCLUDE PUS LIKE DRAINAGE, ERYTHEMA, SOME CELLULITIS. PRELIMINARY CULTURE REPORT CLOSTRIDIUM PERFRINGENS FROM TISSUE AND WOUND SWAB OBTAINED DURING IRRIGATION AND DEBRIDEMENT DONE ON OBTAINED DURING IRRIGATION AND DEBRIDEMENT DONE ON (B)(6) 2014. WBC 19.2. OTHER TISSUE/DEVICES USED IN SURGERY. MFT ITEM# 400053 SERIAL NO: (B)(4) CORT/CANC GRANULES 5 CC. MEDTRONIC SOFAMOR DANEK REF T43I05 SN (B)(4) PUTTY 5 CC. DYONICS RF HOOK 30 DEGREE PROBE WITH INTEGRATED CABLE REF 72202145. CORTICAL SCREW REF C2840 4.5MM X 40MM. CORTICAL SCREW REF C2844 4.5MM X 44MM.