MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00 report with the FDA on 2013-02-11 for ARTELON CMC SPACER manufactured by Artimplant Ab.
[3437523]
An artelon cmc spacer was explanted on (b)(6) 2013 due to alleged injury. (b)(4).
Patient Sequence No: 1, Text Type: D, B5
[10571971]
Investigation based on lawsuit documents filed against artimplant (b)(4) and artimplant us, inc. No info supporting the allegations of lawsuit currently available.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 3004878714-2013-00003 |
| MDR Report Key | 2969016 |
| Report Source | 00 |
| Date Received | 2013-02-11 |
| Date of Report | 2013-02-07 |
| Date of Event | 2013-01-14 |
| Date Mfgr Received | 2013-02-07 |
| Date Added to Maude | 2013-02-21 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 0 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Street | HULDA MELLGRENS GATA 5 |
| Manufacturer City | VASTRA FROLUNDA SE-421 32 |
| Manufacturer Country | SW |
| Manufacturer Postal | SE-421 32 |
| Manufacturer Phone | 17465600 |
| Single Use | 0 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ARTELON CMC SPACER |
| Generic Name | SPACER |
| Product Code | KYI |
| Date Received | 2013-02-11 |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ARTIMPLANT AB |
| Manufacturer Address | VASTRA FROLUNDA SW |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Deathisabilit | 2013-02-11 |