Brand Name | MEDTRONIC SPINALGRAFT TECH T FIBERCELL VIABLE BONE GRAFT |
Type of Device | FILLER, RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN, COLLAGEN SCAFFOLD WITH MET |
Manufacturer (Section D) |
MEDTRONIC SOFAMOR DANEK USA, INC. |
|
|
MDR Report Key | 11900992 |
MDR Text Key | 253562681 |
Report Number | MW5101617 |
Device Sequence Number | 1 |
Product Code |
NEK
|
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Risk Manager
|
Type of Report
| Initial |
Report Date |
05/26/2021 |
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 Expiration Date | 01/08/2023 |
Device Model Number | 'MATRIX1GCC' |
Device Catalogue Number | VBM9910 |
Device Lot Number | 'NMDS210011006' |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 05/27/2021 |
Was Device Evaluated by Manufacturer? |
No Information
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Life Threatening;
Other;
Required Intervention;
|
Patient Age | 46 YR |
|
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