NEURAGEN NERVE GUIDE 6MM ID X 3CM LENGTH PNG630

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2017-01-05 for NEURAGEN NERVE GUIDE 6MM ID X 3CM LENGTH PNG630 manufactured by Integra Lifesciences Corporation.

Event Text Entries

[63951143] The device involved in the reported incident is not available for evaluation. An investigation has been initiated based on the reported information.
Patient Sequence No: 1, Text Type: N, H10


[63951144] It was reported that an expired product was implanted on a (b)(6) female. Patient was not injured and no adverse effects has been reported. The device will remain implanted. Patient is aware of the expired product.
Patient Sequence No: 1, Text Type: D, B5


[65919083] Integra has completed their internal investigation on january 20, 2017. The investigation included: methods: review of device history records. Review of complaints history. Results: the unit will not be returned since it was implanted in the patient. Dhr review; ten (10) retain sample units were visually inspected for product and packaging appearance, including labeling. No anomalies were observed. All units met product and packaging specifications according to? Packaged collagen product inspection?. Complaints history; no similar complaints related to? Expired product implanted? Have been reported for this fg lot 1140945. Approximately (b)(4) units of neuragen products have been shipped for sales purposes since december 2014 until december 2016, resulting in a complaint occurrence rate of approximately(b)(4). Conclusion: (root/cause) the reported incident (expired product implanted) could not be associated to the manufacturing / packaging process performed. Complaint unit was labeled in an accurate manner and applicable procedures. The packaged product had several labels that contained the expiration date that are very noticeable by the end user, therefore the reported incident could be associated to inappropriate handling of the product (product misuse) by the reporting facility.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1121308-2016-00023
MDR Report Key6224882
Report SourceCOMPANY REPRESENTATIVE
Date Received2017-01-05
Date of Report2016-12-19
Date of Event2016-12-16
Date Mfgr Received2017-01-20
Device Manufacturer Date2014-03-31
Date Added to Maude2017-01-05
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 SONIA IRIZARRY
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 NameNEURAGEN NERVE GUIDE 6MM ID X 3CM LENGTH
Generic NameNEURAGEN
Product CodeJXI
Date Received2017-01-05
Catalog NumberPNG630
Lot Number1140945
Device Expiration Date2016-03-01
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
101. Other 2017-01-05

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