SPF SPINAL FUSION STIMULATOR N/A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2014-02-14 for SPF SPINAL FUSION STIMULATOR N/A manufactured by Ebi, Llc..

Event Text Entries

[4184789] Patient reports having an spf unit implanted on an unknown date. Subsequently, patient had an mri procedure on an unknown date and reports pain and discomfort in area where the spf unit was implanted. Patient reports that spf unit was explanted on an unknown date. Patient further reports pain and discomfort in the implant area after the revision.
Patient Sequence No: 1, Text Type: D, B5


[11654459] No product was returned to manufacturer. Current information is insufficient to permit a conclusion as to the cause of the event. (b)(4). Mri statement is included with patient card and states the following: for mri centers: the biomet spf spinal fusion stimulator has received fda approval for the claim of mri safe for the spf-2t and spf-xl iib models when used in mr environments up to 1. 5 tesla. To access complete full prescribing and mri information, (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number0002242816-2014-00014
MDR Report Key3629042
Report Source04
Date Received2014-02-14
Date of Report2014-01-16
Date Mfgr Received2014-01-16
Date Added to Maude2014-02-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMR. DAVID TALISH
Manufacturer Street399 JEFFERSON ROAD
Manufacturer CityPARSIPPANY NJ 07054
Manufacturer CountryUS
Manufacturer Postal07054
Manufacturer Phone9732999300
Manufacturer CountryUS
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameSPF SPINAL FUSION STIMULATOR
Generic NameSTIMULATOR
Product CodeLOE
Date Received2014-02-14
Model NumberN/A
ID NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerEBI, LLC.
Manufacturer Address399 JEFFERSON ROAD PARSIPPANY NJ 07054 US 07054


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2014-02-14

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