MAUDE Adverse Event Report: BIOMIMETIC THERAPEUTICS, LLC AUGMENT BONE GRAFT; FILLER, BONE VOID, SYNTHETIC PEPTIDE

Model Number K20003010

Device Problem Patient Device Interaction Problem (4001)

Patient Problem Joint Disorder (2373)

Event Type  Injury  

Manufacturer Narrative

Neither the device nor applicable imaging films were returned to the manufacturer for evaluation, therefore, the cause of the event cannot be determined.

Event Description

It was reported that the patient underwent a tibio-talo-calcaneal fusion with the use of bone graft.Allegedly, the patient did not fuse.

• Brand Name: AUGMENT BONE GRAFT
• Type of Device: FILLER, BONE VOID, SYNTHETIC PEPTIDE
• Manufacturer (Section D): BIOMIMETIC THERAPEUTICS, LLC; 389 nichol mill lane; franklin, tn
• Manufacturer (Section G): BIOMIMETIC THERAPEUTICS, LLC; 389 nichol mill lane; franklin, tn
• Manufacturer Contact: andrew melchiori ; 1023 cherry rd; memphis, tn
• MDR Report Key: 10131224
• MDR Text Key: 194460928
• Report Number: 3003897776-2020-00001
• Device Sequence Number: 1
• Product Code: NOX
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: P100006
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: company representative,health
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 05/29/2020

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: K20003010
• Was Device Available for Evaluation?: No
• Initial Date Manufacturer Received: 05/29/2020
• Initial Date FDA Received: 06/08/2020
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Patient Outcome(s): Other