KYPHX EXPRESS * KPE1003

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-04-19 for KYPHX EXPRESS * KPE1003 manufactured by Kyphon -medtronic Spine Llc.

Event Text Entries

[18372737] Patient was having a kyphoplasty. When the dilating balloon was removed from the spine, there was blood in it. ====================== health professional's impression======================unsure
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1665245
MDR Report Key1665245
Date Received2010-04-19
Date of Report2010-04-19
Date of Event2010-01-15
Report Date2010-04-19
Date Reported to FDA2010-04-19
Date Added to Maude2010-04-22
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameKYPHX EXPRESS
Generic NameINFLATABLE BONE TAMP
Product CodeOCJ
Date Received2010-04-19
Returned To Mfg2010-01-15
Model Number*
Catalog NumberKPE1003
Lot Number01067751
ID Number*
Device AvailabilityR
Device Sequence No1
Device Event Key0
ManufacturerKYPHON -MEDTRONIC SPINE LLC
Manufacturer Address1221 CROSSMAN AVENUE SUNNYVALE CA 94089 US 94089


Patients

Patient NumberTreatmentOutcomeDate
10 2010-04-19

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