MEDPOR CUSTOMIZED MIDFACE 54440510

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2015-02-20 for MEDPOR CUSTOMIZED MIDFACE 54440510 manufactured by Stryker Orthobiologics-malvern.

Event Text Entries

[5518752] During a company representatives visit at the (b)(6), it was mentioned that postoperatively an infection occurred, affecting a patient who received two medpor customized midface implants which were implanted on (b)(6) 2014. Additional information was received stating the infection developed on both sides. As of (b)(6) 2014 the devices were still in situ. The decision to remove one or both implants and determine if further treatment is required is pending.
Patient Sequence No: 1, Text Type: D, B5


[12793280] The device is still implanted in the patient. If additional information becomes available or the device is sent back, a supplemental report will be filed. Device still implanted.
Patient Sequence No: 1, Text Type: N, H10


[32686175] Although the device was not returned for investigation, the reported event could be confirmed based on the provided bacteriological report. On inquiry stryker received the report of the bacteriology from the related university hospital, which was reviewed and evaluated by stryker cmf? S clinical expert. The report shows that all of the analyzed germs originated from the oral cavity. The clinical expert reasoned that the patient? S germs caused the infection primarily. Most likely the abscess germs were intraoperatively introduced from the oral cavity. Summarizing the investigation the root cause of the determined failure mode can be tied to a patient / user related issue. Indications for any material or design related issues were not determined in the investigation.
Patient Sequence No: 1, Text Type: N, H10


[32686176] During a company representatives visit at the (b)(6), it was mentioned that postoperatively an infection occurred, affecting a patient who received two medpor customized midface implants which were implanted on (b)(6) 2014. Additional information was received stating the infection developed on both sides. As of (b)(6) 2014 the devices were still in situ. The decision to remove one or both implants and determine if further treatment is required is pending.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0008010177-2015-00032
MDR Report Key4532792
Report Source05
Date Received2015-02-20
Date of Report2014-10-01
Date of Event2014-10-01
Date Mfgr Received2015-02-12
Device Manufacturer Date2013-12-30
Date Added to Maude2015-02-20
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 Location0
Manufacturer ContactMR. JULIE SCHOELL
Manufacturer StreetBOETZINGERSTR. 41
Manufacturer CityFREIBURG D-79111
Manufacturer PostalD-79111
Manufacturer Phone76145120
Manufacturer G1STRYKER ORTHOBIOLOGICS-MALVERN
Manufacturer Street45 GREAT VALLEY PARKWAY
Manufacturer CityMALVERN PA 19355
Manufacturer CountryUS
Manufacturer Postal Code19355
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMEDPOR CUSTOMIZED MIDFACE
Generic NameIMPLANT
Product CodeFWP
Date Received2015-02-20
Catalog Number54440510
Lot NumberK09428LF26MAY (LEFT SIDE)
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER ORTHOBIOLOGICS-MALVERN
Manufacturer Address45 GREAT VALLEY PARKWAY MALVERN PA 19355 US 19355


Patients

Patient NumberTreatmentOutcomeDate
10 2015-02-20

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