ACADIA FACET REPLACEMENT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-05-10 for ACADIA FACET REPLACEMENT manufactured by Globus Medical.

Event Text Entries

[75168284] Frequent back problems.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5069720
MDR Report Key6562814
Date Received2017-05-10
Date of Report2017-05-10
Date of Event2017-03-15
Date Added to Maude2017-05-12
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 0

Brand NameACADIA FACET REPLACEMENT
Generic NameAPPLIANCE FIXATION SPINAL INTERLUMINAL
Product CodeMRW
Date Received2017-05-10
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No0
Device Event Key0
ManufacturerGLOBUS MEDICAL

Device Sequence Number: 1

Brand NameACADIA FACET REPLACEMENT
Generic NameAPPLIANCE FIXATION SPINAL INTERLUMINAL
Product CodeMRW
Date Received2017-05-10
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerGLOBUS


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-05-10

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