NUOSS BMC2510 509-1001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 08 report with the FDA on 2012-05-18 for NUOSS BMC2510 509-1001 manufactured by Collagen Matrix, Inc..

Event Text Entries

[2657832] There was no significant bone fill/ingrowth after 15 months post-implantation of bone graft material.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2249852-2012-00001
MDR Report Key2591877
Report Source08
Date Received2012-05-18
Date of Report2012-03-10
Date of Event2010-06-09
Date Mfgr Received2012-02-10
Device Manufacturer Date2007-08-08
Date Added to Maude2012-08-03
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactPEGGY HANSEN
Manufacturer Street15 THORNTON RD.
Manufacturer CityOAKLAND NJ 07436
Manufacturer CountryUS
Manufacturer Postal07436
Manufacturer Phone2014051477
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNUOSS
Generic NameANORGANIC BONE MINERAL
Product CodeNPM
Date Received2012-05-18
Model NumberBMC2510
Catalog Number509-1001
Lot NumberBMCU07G5
Device Expiration Date2010-07-30
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCOLLAGEN MATRIX, INC.
Manufacturer AddressOAKLAND NJ 07436 US 07436


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2012-05-18

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