TOEMOTION 9M52-2535-W/ 9P15-PB01-A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2015-11-25 for TOEMOTION 9M52-2535-W/ 9P15-PB01-A manufactured by Arthrosurface, Inc..

Event Text Entries

[32142058] Patient is currently not happy with the amount of pain relief she is able to get after the surgery. But, satisfied with the range of motion. The treating surgeon scheduled patient for re-cementing the components. Arthrosurface is following up with the patient and monitoring the progress. A supplemental report will be filed as required to provide updates on patient's condition. Following are the details of components implanted in the patient: part # 9m52-2535-w lot # 75jd2904 mfg dt: 12-2014 exp dt: 12-2021. Part # 9095-0018-w lot # 75be2522 mfg dt: 03-2015 exp dt: 03-2020. Part # 9p15-s180-a lot # 75id0436 mfg dt: 09-2014 exp dt: 09-2019. Part # 9p15-pb01-a lot # 75id0208 mfg dt: 10-2014 exp dt: 10-2019.
Patient Sequence No: 1, Text Type: N, H10


[32142059] Patient contacted arthrosurface to report pain and other on-going issues associated with the right toe after having implanted with toe motion components. Patient wants to be healthy, not be in constant pain and is looking for any advice that arthrosurface could provide with regard to those issues.
Patient Sequence No: 1, Text Type: D, B5


[33187445] The patient was revised to a non-arthrosurface toe implant on (b)(6) 2015. The arthrosurface components were removed from the patient and the revision was completed without any issue. It is not known how the implant loosened. Patient has had multiple surgeries before and after several discussions, we learned that patient has a device loosening history. Given patient's device loosening history and early weight bearing, it is possible that implant might have loosened. The complaint is considered closed at this time.
Patient Sequence No: 1, Text Type: N, H10


[35234720] This supplemental report is being filed as per patient's recent ((b)(6) 2015) email regarding the date of revision surgery. The revision date was corrected to (b)(6) 2015. Work-up for ruling out any infections and metal allergy had been done prior to the revision date. On (b)(6) 2015, patient met surgeon for anesthesia and pre-op check up. No other reportable information.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3004154314-2015-00007
MDR Report Key5250336
Report SourceCONSUMER
Date Received2015-11-25
Date of Report2015-11-23
Date of Event2015-10-29
Date Mfgr Received2015-10-29
Date Added to Maude2015-11-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. PHANI PUPPALA
Manufacturer Street28 FORGE PARKWAY
Manufacturer CityFRANKLIN MA 02038
Manufacturer CountryUS
Manufacturer Postal02038
Manufacturer Phone5085203003
Manufacturer G1ARTHROSURFACE, INC.
Manufacturer Street28 FORGE PARKWAY
Manufacturer CityFRANKLIN MA 02038
Manufacturer CountryUS
Manufacturer Postal Code02038
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTOEMOTION
Generic NamePROSTHESIS, TOE (METATARSOPHALANGEAL), JOINT, METAL/POLYMER, SEMI-CONSTRAINED
Product CodeLZJ
Date Received2015-11-25
Catalog Number9M52-2535-W/ 9P15-PB01-A
Lot Number75JD2904/ 75ID0208
OperatorPHYSICIAN
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerARTHROSURFACE, INC.
Manufacturer Address28 FORGE PARKWAY FRANKLIN MA 02038 US 02038


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-11-25

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