IDRT, UNKNOWN XXX-IDRT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,distri report with the FDA on 2016-02-01 for IDRT, UNKNOWN XXX-IDRT manufactured by Integra Lifesciences Corporation.

Event Text Entries

[37244550] It was reported the product was delivered late. The customer ordered the material on (b)(4) 2016, at approximately 15:30. The product was supposed to be delivered on (b)(4) 2016 by 09:00. It finally arrived at 10:28. The patient was under anesthesia and in the or around 08:30. The patient needed to be prepared for the application of idrt since it was a burn patient with 95% burned surface. "the idrt was not needed until it arrived in the or, but still it was not delivered on time "this is a 1. 5 hour delay. " it was reported the delay did not harm the patient. No device failure is alleged. The product remains implanted in the patient.
Patient Sequence No: 1, Text Type: D, B5


[46619945] Integra completed its internal investigation 7mar2016. The investigation included: conclusion: as the information related to the correct shipping time was only given by phone there is no proof of the correct transferred shipping time. The root cause for the delay on delivery could happen based on the not clear defined arrival time.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1121308-2016-00001
MDR Report Key5401359
Report SourceCOMPANY REPRESENTATIVE,DISTRI
Date Received2016-02-01
Date of Report2016-01-06
Date of Event2016-01-06
Date Mfgr Received2016-03-07
Date Added to Maude2016-02-01
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 ContactUSER MARIA LEONARD
Manufacturer Street311 ENTERPRISE DRIVE
Manufacturer CityPLAINSBORO NJ 08536
Manufacturer CountryUS
Manufacturer Postal08536
Manufacturer Phone6099362393
Manufacturer G1INTEGRA LIFESCIENCES CORPORATION
Manufacturer Street105 MORGAN LANE
Manufacturer CityPLAINSBORO NJ 08536
Manufacturer CountryUS
Manufacturer Postal Code08536
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIDRT, UNKNOWN
Generic NameINTEGRA
Product CodeMGR
Date Received2016-02-01
Catalog NumberXXX-IDRT
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerINTEGRA LIFESCIENCES CORPORATION
Manufacturer Address105 MORGAN LANE 105 MORGAN LANE PLAINSBORO NJ 08536 US 08536


Patients

Patient NumberTreatmentOutcomeDate
10 2016-02-01

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