MAUDE MDR 3818580

MDR report key
3818580
Report number
1121308-2014-00013
Event key
0
Event type
3
Date received
2014-04-02
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
CAREN FINKELSTEIN
Address
315 ENTERPRISE DRIVE PLAINSBORO NJ 08536 US
Phone
609-609-6099
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1IDRT-TS (INTL) SINGLE 2X2IDRT-TSINTEGRA LIFESCIENCES CORP.MGR82021105NA0277860* Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12014-04-020

Event Narratives#

D

Patient 1

IT WAS REPORTED THAT 'DURING THE SURGERY WHEN THE PACKAGE WAS OPENED, CREASES WERE ADMITTED IN THE FIRST IDRT. ANOTHER IDRT WAS OPENED AND USED TO COMPLETE THE SURGERY.'

N

Patient 1

TO DATE THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED ON THE REPORTED INFORMATION.