1503832

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2015-09-12 for 1503832 manufactured by Baxter Apatech Ltd.

Event Text Entries

[25612179] (b)(4). The event occurred on and the ostene was implanted on an unreported date in (b)(6) 2015. (b)(6) should additional relevant information become available, a supplemental report will be submitted.
Patient Sequence No: 1, Text Type: N, H10


[25612180] It was reported that a patient started re-bleeding within 1-2 hours after application of ostene. The patient was undergoing a sternotomy surgery. The site of application was not reported. It was reported that 20 minutes after the ostene was applied, the ostene started to dissolve. Additionally, it was reported that the dissolution occurred even faster while the cardiovascular surgeon was performing irrigation. It was reported that the product was not warmed to body temperature and further described as the product was not warmed prior to use and it's condition wasn't different than usual. The amount of blood loss, medical intervention, and the patient outcome was not reported. No additional information is available.
Patient Sequence No: 1, Text Type: D, B5


[26525116] (b)(4). The device was not returned and the lot number is unknown; therefore, a device analysis could not be completed. Should additional relevant information become available, a supplemental report will be submitted.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1416980-2015-35707
MDR Report Key5072984
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2015-09-12
Date of Report2015-09-23
Date Mfgr Received2015-09-17
Date Added to Maude2015-09-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactKINGA ALMASAN
Manufacturer Street25212 W. ILLINOIS ROUTE 120
Manufacturer CityROUND LAKE IL 60073
Manufacturer CountryUS
Manufacturer Postal60073
Manufacturer Phone2242702068
Manufacturer G1BAXTER APATECH LTD
Manufacturer Street370 CENTENNIAL AVE
Manufacturer CityHERTFORDSHIRE
Manufacturer CountryUK
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameWAX,BONE
Product CodeMTJ
Date Received2015-09-12
Catalog Number1503832
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBAXTER APATECH LTD
Manufacturer Address370 CENTENNIAL AVE HERTFORDSHIRE UK


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-09-12

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