MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 99,unknown report with the FDA on 2015-03-18 for ITOTAL G2 M57250600020 manufactured by Conformis.
[5589044]
Pt was revised to a revision total knee system. Reason for revision is unk.
Patient Sequence No: 1, Text Type: D, B5
[13074409]
Pt was revised to a revision total knee system. Reason for revision is unk. Review of the device history record indicates that the device was manufactured to specification.
Patient Sequence No: 1, Text Type: N, H10
[28372301]
Tibial and femoral implant loosening occurred. Patient was revised to a revision total knee system. Review of the device history record indicates that the device was manufactured to specification.
Patient Sequence No: 1, Text Type: N, H10
[28372302]
Tibial and femoral implant loosening occurred. Patient was revised to a revision total knee system.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3004153240-2015-00047 |
| MDR Report Key | 4626840 |
| Report Source | 99,UNKNOWN |
| Date Received | 2015-03-18 |
| Date of Report | 2015-09-02 |
| Date of Event | 2014-12-08 |
| Date Mfgr Received | 2015-08-11 |
| Device Manufacturer Date | 2013-04-01 |
| Date Added to Maude | 2015-03-25 |
| 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 | 3 |
| Event Location | 3 |
| Manufacturer Contact | KARINA SNOW |
| Manufacturer Street | 28 CROSBY DR |
| Manufacturer City | BEDFORD MA 01730 |
| Manufacturer Country | US |
| Manufacturer Postal | 01730 |
| Manufacturer Phone | 7813459195 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ITOTAL G2 |
| Generic Name | TOTAL KNEE REPLACEMENT SYSTEM |
| Product Code | OOG |
| Date Received | 2015-03-18 |
| Catalog Number | M57250600020 |
| Device Expiration Date | 2013-09-01 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CONFORMIS |
| Manufacturer Address | 28 CROSBY DR BEDFORD MA 01730 US 01730 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2015-03-18 |