SYNPLUG - UNKNOWN SIZE XXX-SYNPLUG

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,distri report with the FDA on 2015-10-27 for SYNPLUG - UNKNOWN SIZE XXX-SYNPLUG manufactured by Isotis Orthobiologics, Inc.

Event Text Entries

[29369539] It was reported the patient has a huge osteolysis around the synplug cement restrictor implanted with a total prosthesis in 2011. The patient is symptomatic and needs revision surgery. Additional information has been requested.
Patient Sequence No: 1, Text Type: D, B5


[32124325] To date, there are no conclusive findings from this or similar complaint investigations, or from technical or clinical information in the literature that proves or disproves a causal relationship between synplug? & optiplug? Biodegradable cement restrictors or the materials they are manufactured with, and periprosthetic osteolysis (or fractures as a result). There are also no data or findings that would suggest that only some subset of all the products manufactured might be affected. The finding of osteolysis surrounding the distal cement restrictor is unexpected, and undesirable; however, periprosthetic osteolysis in total hip arthroplasty is a well-known problem that is typically a multifactorial process and may be identified through routine radiographic follow-up.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2090010-2015-00045
MDR Report Key5180828
Report SourceCOMPANY REPRESENTATIVE,DISTRI
Date Received2015-10-27
Date of Report2015-10-05
Date Mfgr Received2015-10-27
Date Added to Maude2015-10-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationDENTAL HYGIENIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactUSER MARIA LEONARD
Manufacturer Street311 ENTERPRISE DRIVE
Manufacturer CityPLAINSBORO NJ 08536
Manufacturer CountryUS
Manufacturer Postal08536
Manufacturer Phone6099362393
Manufacturer G1ISOTIS ORTHOBIOLOGICS, INC
Manufacturer Street2 GOODYEAR PLACE, SUITE A
Manufacturer CityIRVINE CA 96218
Manufacturer CountryUS
Manufacturer Postal Code96218
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSYNPLUG - UNKNOWN SIZE
Generic NameSYNPLUG
Product CodeLZN
Date Received2015-10-27
Catalog NumberXXX-SYNPLUG
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerISOTIS ORTHOBIOLOGICS, INC
Manufacturer Address2 GOODYEAR PLACE, SUITE A 2 GOODYEAR PLACE, SUITE A IRVINE CA 96218 US 96218


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2015-10-27

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