SPINE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,02,05,07 report with the FDA on 2013-02-27 for SPINE manufactured by Synthes.

Event Text Entries

[3129628] Patient 4, it was reported that the spacer has moved. This is no additional information available.
Patient Sequence No: 1, Text Type: D, B5


[10507093] Without lot number the device history records review could not be completed. The investigation could not be completed; no conclusion could be drawn, as no product was received.
Patient Sequence No: 1, Text Type: N, H10


[30713544] Device was used for treatment, not diagnosis. Upon further review, it was noted that this complaint #(b)(4), mfr report #2520274-2013-01210 is a duplicate filing for complaint #(b)(4), mfr report #2520274-2013-01211. Synthes usa is retracting mfr report #2520274-2013-01210. Mfr report #2520274-2013-01211 will remain on file.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2520274-2013-01210
MDR Report Key2981352
Report Source01,02,05,07
Date Received2013-02-27
Date of Report2011-07-25
Date Mfgr Received2014-01-29
Date Added to Maude2013-05-08
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactP NEAL
Manufacturer Street1302 WRIGHTS LANE EAST
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal19380
Manufacturer Phone8006207025
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSPINE
Product CodeLYQ
Date Received2013-02-27
Catalog NumberSPINE
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSYNTHES
Manufacturer Address1302 WRIGHTS LANE EAST WEST CHESTER PA 13980 13980


Patients

Patient NumberTreatmentOutcomeDate
10 2013-02-27

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