KYPHON EXPRESS INFLATABLE BONE TAMP KE152

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 2017-06-13 for KYPHON EXPRESS INFLATABLE BONE TAMP KE152 manufactured by Mdt Kyphon Neuchatel Mfg.

Event Text Entries

[77447211] Product analysis : the center shaft of the ibt where the markers are located has collapsed and is folded inside the balloon tip. The balloon is also leaking where the center shaft passes through and is glued to the balloon. The ibt appears to have been inflated, it is unknown at this time if the balloon arrived damaged or if it became damaged during use. The stylet is bent. A good faith effort will be made to obtain the applicable information relevant to the report. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[77447212] It was reported that patient with osteoporosis and vertebral compression fracture underwent balloon kyphoplasty at t8/9. Intra-op, the two radiopaque markers were too close and the inflation of the balloon was irregular. The inflatable bone tamp (ibt) failed during the first insertion attempt into the vertebral body. The surgery was completed successfully with the original product. No patient complications were reported.
Patient Sequence No: 1, Text Type: D, B5


[105926366] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2953769-2017-00072
MDR Report Key6636008
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2017-06-13
Date of Report2017-05-30
Date of Event2017-03-03
Date Mfgr Received2017-05-30
Date Added to Maude2017-06-13
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 ContactSTACIE ZIEMBA
Manufacturer Street1800 PYRAMID PLACE
Manufacturer CityMEMPHIS TN 38132
Manufacturer CountryUS
Manufacturer Postal38132
Manufacturer Phone9013963133
Manufacturer G1MDT KYPHON NEUCHATEL MFG
Manufacturer StreetPIERRE-
Manufacturer CityNEUCH 2000
Manufacturer CountryCH
Manufacturer Postal Code2000
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameKYPHON EXPRESS INFLATABLE BONE TAMP
Generic NameTAMP
Product CodeHXG
Date Received2017-06-13
Returned To Mfg2017-03-13
Model NumberNA
Catalog NumberKE152
Lot Number0008228442
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerMDT KYPHON NEUCHATEL MFG
Manufacturer AddressPIERRE-?-BOT 97 NEUCH?TEL,NE 2000 CH 2000


Patients

Patient NumberTreatmentOutcomeDate
10 2017-06-13

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