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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: REFOBACIN BONE CMNT R 1X40 JP; BONE CEMENT, ANTIBIOTIC

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REFOBACIN BONE CMNT R 1X40 JP; BONE CEMENT, ANTIBIOTIC Back to Search Results
Catalog Number 110035373
Device Problems Unsealed Device Packaging (1444); Difficult to Open or Remove Packaging Material (2922)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 08/09/2021
Event Type  malfunction  
Manufacturer Narrative
This is a combination product.(b)(4).Report source, foreign - event occurred in (b)(6).The investigation is in progress.Once the investigation has been completed, a follow-up mdr will be submitted.If any further information is found which would change or alter any conclusions or information, a supplemental will be filed accordingly.
 
Event Description
It was reported that this cement could not be used due to a defective packaging seal on the polymer pouch.No adverse event has been reported as a result of the malfunction.
 
Event Description
It was reported that this cement could not be used due to a defective packaging seal on the polymer pouch.No adverse event has been reported as a result of the malfunction.
 
Manufacturer Narrative
(b)(4).This follow-up report is being submitted to relay additional information.The device manufacturing quality record indicates that the released product met all requirements to perform as intended.No further information provided (x-rays, surgical report, photographs, lab test).A complaint extract was done regarding outer pouch_difficult to open: to date (26-oct-2021), 2 complaints (involving 3 products), this one included, have been recorded regarding the brand rbcr jp, since ever.To date (26-oct-2021), 1 complaint (involving 1 product), this one included, has been recorded regarding refobacin bone cement r 1x40 jp, reference 110035373, batch 002aac1603, since ever.The product was returned and lab analysis was performed.The product analysis has shown that the outer pouch could not be opened correctly : it was noticed that this package was torn.Indeed, the supplier hangs too much which tears the paper back of the pouch.Therefore, the reported event was confirmed.Investigation results concluded that the reported event was due to packaging issue (sealing process).Corrective action has been initiated to address the reported issue.If any further information is found which would change or alter any conclusions or information, a supplemental will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
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Brand Name
REFOBACIN BONE CMNT R 1X40 JP
Type of Device
BONE CEMENT, ANTIBIOTIC
MDR Report Key12391470
MDR Text Key270514015
Report Number3006946279-2021-00143
Device Sequence Number1
Product Code MBB
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional
Type of Report Initial,Followup
Report Date 10/27/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date11/30/2021
Device Catalogue Number110035373
Device Lot Number002AAC1603
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer09/14/2021
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 08/12/2021
Initial Date FDA Received08/31/2021
Supplement Dates Manufacturer Received10/26/2021
Supplement Dates FDA Received10/27/2021
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured06/08/2020
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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