TM-S - 14X14X7MM, ANGLED N/A 06-101-03071

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2016-08-22 for TM-S - 14X14X7MM, ANGLED N/A 06-101-03071 manufactured by Zimmer Tmt.

Event Text Entries

[52719114] Investigation in process.
Patient Sequence No: 1, Text Type: N, H10


[52719115] Sales rep (b)(6) reported a revision. Dr (b)(6) will be removing a tm-s device from a year out. The tm-s device was implanted (via acdf) at c5-c6 and has healed. Following the initially surgery, the patient developed a herniated disc at c3-c4 and stenosis at c6-c7. The patient was revised to address the new issues and a corpectomy was performed.
Patient Sequence No: 1, Text Type: D, B5


[58948270] On (b)(6) 2016, complaint (b)(4) was reported by the sales representative , concerning a tm-s implant with the dimensions of 14x14x7mm (part no. 06-101-03071, lot no. 62998472). The implantation surgery occurred in (b)(6), on (b)(6) 2016. The subject device was implanted between cervical vertebrae c5-c6 as part of an anterior cervical discectomy and fusion (acdf) procedure with the use of mergence-s instruments. There were no complications in the implant surgery, nor was there any harm to the patient. It was noted the healed fusion of the cervical vertebrae c5-c6 three months after the tm-s implantation. In the same time, a herniated disc between cervical vertebrae c3-c4 and stenosis between cervical vertebrae c6-c7 had developed post-surgery. The acdf procedure was revised only in an effort to address the herniated disc and stenosis between cervical vertebrae c3-c4 and c6-c7, respectively. In the revision surgery, the tm-s device was removed and a vbr-s device was implanted into the patient. No issue relating to the design or function of the tm-s implant was reported. No action is necessary at this time.
Patient Sequence No: 1, Text Type: N, H10


[58948271] It was reported that a revision will be performed to remove a tm-s device from a year out. The tm-s device was implanted (via acdf) at c5-c6 and has healed. Following the initial surgery, the patient developed a herniated disc at c3-c4 and stenosis at c6-c7. The patient was revised to address the new issues and a corpectomy was performed
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005751028-2016-00065
MDR Report Key5894384
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2016-08-22
Date of Report2016-08-05
Date of Event2016-08-16
Date Mfgr Received2016-08-05
Device Manufacturer Date2015-04-09
Date Added to Maude2016-08-22
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 FDA3
Event Location3
Manufacturer ContactMR. WILLIAM HARA
Manufacturer Street10 POMEROY ROAD
Manufacturer CityPARSIPPANY NJ 07054
Manufacturer CountryUS
Manufacturer Postal07054
Manufacturer Phone9735760032
Manufacturer G1ZIMMER TMT
Manufacturer Street10 POMEROY ROAD
Manufacturer CityPARSIPPANY NJ 07054
Manufacturer CountryUS
Manufacturer Postal Code07054
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameTM-S - 14X14X7MM, ANGLED
Generic NameTM-S
Product CodeOBP
Date Received2016-08-22
Model NumberN/A
Catalog Number06-101-03071
Lot Number62998472
ID NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerZIMMER TMT
Manufacturer Address10 POMEROY ROAD PARSIPPANY NJ 07054 US 07054


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2016-08-22

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.