BONE WAX UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,literatur report with the FDA on 2017-10-05 for BONE WAX UNK manufactured by Ethicon Inc..

Event Text Entries

[88385721] (b)(4). To date the device has not been returned. If the device or further details are received at a later date a supplemental medwatch will be sent. No specific patient information regarding events has been provided. Attempts are being made to obtain the following information. To date no response has been provided. If further details are received at a later date a supplemental medwatch will be sent. Does the surgeon believe that there was any deficiency in the bone wax device? Were these cases previously reported? (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[88385722] It was reported in a journal article that a patient underwent a laminectomy procedure between may 1 and july 31, 2002 and bone was used. The patient developed a ssis. During procedures in which bone wax was used, it was removed from its foil container and softened by either the scrub nurse or the surgeon by massaging it between gloved fingers. Because the use of the wax occurs late in the procedure when the gloves are more likely to be contaminated with organisms, we hypothesize that the wax might be inoculated at this time. Because several different organisms were isolated from these ssis, it is likely that the source of the contamination was the patient? S own skin flora. The patient received either antibiotic or surgical incision and debridement which was initiated within 3 months of the index surgery. Additional information was requested.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2210968-2017-70307
MDR Report Key6918895
Report SourceHEALTH PROFESSIONAL,LITERATUR
Date Received2017-10-05
Date of Report2017-08-03
Date Mfgr Received2017-09-15
Date Added to Maude2017-10-05
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 ContactDARLENE KYLE
Manufacturer StreetP.O. BOX 151, ROUTE 22 WEST
Manufacturer CitySOMERVILLE 088760151
Manufacturer CountryUS
Manufacturer Postal088760151
Manufacturer Phone9082182792
Manufacturer G1ETHICON INC.
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBONE WAX
Generic NameWAX, BONE
Product CodeMTJ
Date Received2017-10-05
Catalog NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerETHICON INC.
Manufacturer AddressP.O. BOX 151, ROUTE 22 WEST SOMERVILLE 088760151 US 088760151


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-10-05

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