INTERPHLEX UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 03 report with the FDA on 2008-05-14 for INTERPHLEX UNK manufactured by Osteomed L.p..

Event Text Entries

[838365] Quote in july 2006 "podiatry today" indicates that physician had two cases, where he had to remove a stabilization rod due to an inflammatory reaction. One of these cases was previously reported to company any filed as mdr in 2004. When doctor was contacted regarding second case, he indicated he was unable to find the file or provide further information. This was early in the practice with this product surgeon remains a current user today.
Patient Sequence No: 1, Text Type: D, B5


[8000191] Device not returned. No additional information available. Doctor said he was unable to locate file. Previous other report filed in 2004 as mdr.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2027754-2008-00007
MDR Report Key1047162
Report Source03
Date Received2008-05-14
Date of Report2008-05-14
Date Mfgr Received2008-04-14
Date Added to Maude2008-05-23
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 FDA0
Event Location0
Manufacturer Street3885 ARAPAHO ROAD
Manufacturer CityADDISON TX 75001
Manufacturer CountryUS
Manufacturer Postal75001
Manufacturer Phone9726774787
Single Use0
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameINTERPHLEX
Generic NameFLEXIBLE STABILIZATION ROD
Product CodeLZJ
Date Received2008-05-14
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key1016505
ManufacturerOSTEOMED L.P.
Manufacturer AddressADDISON TX US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2008-05-14

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