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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOBIOLOGICS-MALVERN VITOSS BBTRAUMA FOAM PACK 2.5CC; RESORBABLE CALCIUM SALT BONE VOID FILLER DEVICE

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STRYKER ORTHOBIOLOGICS-MALVERN VITOSS BBTRAUMA FOAM PACK 2.5CC; RESORBABLE CALCIUM SALT BONE VOID FILLER DEVICE Back to Search Results
Catalog Number 2102-2202
Device Problems Shelf Life Exceeded (1567); No Apparent Adverse Event (3189)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 10/06/2015
Event Type  malfunction  
Event Description
It was reported that; implanted an expired product.
 
Manufacturer Narrative
Method: device not returned; results: device history review indicated all devices accepted into final stock met specifications.Device evaluation could not be performed as no items were returned.Complaint history review indicated there have been no other similar complaints for this reported lot.Conclusion: based on the reported event, the most likely cause of the reported event was determined to be user error.
 
Event Description
It was reported that; implanted an expired product.
 
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Brand Name
VITOSS BBTRAUMA FOAM PACK 2.5CC
Type of Device
RESORBABLE CALCIUM SALT BONE VOID FILLER DEVICE
Manufacturer (Section D)
STRYKER ORTHOBIOLOGICS-MALVERN
45 great valley parkway
malvern PA 19355
Manufacturer (Section G)
STRYKER ORTHOBIOLOGICS-MALVERN
45 great valley parkway
malvern PA 19355
Manufacturer Contact
linford leitch
2 pearl court
allendale, NJ 07401
2017608000
MDR Report Key5192804
MDR Text Key30415663
Report Number0002530131-2015-00018
Device Sequence Number1
Product Code MQV
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional
Reporter Occupation Nurse
Type of Report Initial,Followup
Report Date 10/06/2015
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/30/2015
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator No Information
Device Catalogue Number2102-2202
Device Lot NumberB1309009
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received10/06/2015
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured11/21/2013
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Age44 YR
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