SPOTLIGHT 4MM DOWN BITE CURETTE 292903404

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,07 report with the FDA on 2014-06-25 for SPOTLIGHT 4MM DOWN BITE CURETTE 292903404 manufactured by Depuy Synthes Spine.

Event Text Entries

[4647046] It was reported that the spotlight curette broke when being used during an open lami/discectomy procedure. The sales representative was not present during the case and is unable to provide any additional information regarding the event. As it is possible that the distal tip portion of the curette broke during usage, this medwatch report is being filed to document the event.
Patient Sequence No: 1, Text Type: D, B5


[12110183] A follow up report will be filed upon completion of the investigation. If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10


[26793196] The spotlight 4mm down biting curette was not returned for evaluation. Review of the device history record found no discrepancies. The product was released accomplishing all quality requirements. A 12-month review of the complaint trend analysis on the product family found no emerging trends. Without the return of the 4mm down biting curette we are unable to confirm the reported issue or identify the root cause. No corrective action/preventive action is necessary at this time as we are unable to confirm the reported issue or identify the root cause. No systemic trend has been observed. Therefore, this complaint file will be closed with no further action required. If the sample of concern from this complaint file becomes available, the complaint file will be re-opened and the product evaluated. If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1526439-2014-11630
MDR Report Key3894524
Report Source05,07
Date Received2014-06-25
Date of Report2014-06-02
Date of Event2014-06-02
Date Mfgr Received2014-07-31
Device Manufacturer Date2012-03-09
Date Added to Maude2014-07-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location3
Manufacturer ContactANITA BARNICK
Manufacturer Street325 PARAMOUNT DRIVE
Manufacturer CityRAYNHAM MA 02767
Manufacturer CountryUS
Manufacturer Postal02767
Manufacturer Phone5088283583
Manufacturer G1DEPUY SYNTHES SPINE
Manufacturer Street325 PARAMOUNT DRIVE
Manufacturer CityRAYNHAM MA 02767
Manufacturer CountryUS
Manufacturer Postal Code02767
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSPOTLIGHT 4MM DOWN BITE CURETTE
Generic NameCURETTE
Product CodeHTF
Date Received2014-06-25
Returned To Mfg2014-06-06
Catalog Number292903404
Lot NumberHG1044283
OperatorPHYSICIAN
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerDEPUY SYNTHES SPINE
Manufacturer Address325 PARAMOUNT DRIVE RAYNHAM MA 02767 US 02767


Patients

Patient NumberTreatmentOutcomeDate
10 2014-06-25

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