MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2014-01-27 for OPTETRAK CONSTRAINED CONDYLAR TIBIAL INSERT 208-23-13 manufactured by Exactech Inc.
[22265125]
Revision of equinoxe shoulder components due to infection. Event was discovered through exactech clinical research. The surgeon stated the device may not be directly the cause.
Patient Sequence No: 1, Text Type: D, B5
[22365493]
The contribution of the devices to the experience reported could not be determined as the devices were not returned for evaluation. Additionally, the device specific identification information was not provided, precluding a review of the device history record.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 1038671-2014-00019 |
| MDR Report Key | 3641497 |
| Report Source | 07 |
| Date Received | 2014-01-27 |
| Date of Report | 2014-02-10 |
| Date of Event | 2014-01-08 |
| Date Added to Maude | 2014-03-28 |
| 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 | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | GRAHAM CUTHBERT |
| Manufacturer Street | 2320 NW 66TH COURT |
| Manufacturer City | GAINESVILLE FL 32653 |
| Manufacturer Country | US |
| Manufacturer Postal | 32653 |
| Manufacturer Phone | 8003922832 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | OPTETRAK CONSTRAINED CONDYLAR TIBIAL INSERT |
| Generic Name | TIBIAL INSERT |
| Product Code | HSH |
| Date Received | 2014-01-27 |
| Catalog Number | 208-23-13 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | EXACTECH INC |
| Manufacturer Address | 2320 N.W. 66TH CT. GAINESVILLE FL 32653 US 32653 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2014-01-27 |