OPRA IMPLANT SYSTEM IBC0015

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2017-11-07 for OPRA IMPLANT SYSTEM IBC0015 manufactured by Integrum Ab.

Event Text Entries

[91225240] Study subject was experiencing increasing left thigh pain in the femur around the surgical site. This was concerning for possible osteomyelitis. Study patient returned to (b)(6) clinic to be evaluated further by pi on (b)(6). C-reactive protein, complete blood count with differential, sedimentation rate and interleukin-6 labs were ordered to rule out possible infection on (b)(6) and final lab results were available (b)(6). These came back with abnormal levels and the patient was brought back to clinic (b)(6) to discuss results and treatment plan. The plan discussed for patient was to return for a deep cultures, possible bone biopsy, and discharge on ciprofloxacin and rifampin, for 3 to 6 months dependent on cultures grown. The study patient expressed understanding and will undergo treatment as stated. The patient is roughly 3 months into the course of treatment and has shown significant signs of improvement (i. E no longer experiencing deep pain, and normal levels of c-reactive protein and sedimentation rate).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3011386779-2017-00002
MDR Report Key7005868
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2017-11-07
Date of Report2018-09-04
Date of Event2017-08-16
Date Facility Aware2017-10-18
Report Date2017-10-18
Date Reported to Mfgr2017-10-18
Date Mfgr Received2017-10-18
Device Manufacturer Date2014-02-14
Date Added to Maude2017-11-07
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL ASSISTANT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. NIKLAS HOFVERBERG
Manufacturer StreetKROKSLATTS FABRIKER 50
Manufacturer CityMOLNDAL, VASTRA GOTALAND 43137
Manufacturer CountrySW
Manufacturer Postal43137
Manufacturer G1INTEGRUM AB
Manufacturer StreetKROKSLATTS FABRIKER 50
Manufacturer CityMOLNDAL, VASTRA GOTALAND 43137
Manufacturer CountrySW
Manufacturer Postal Code43137
Single Use3
Remedial ActionPM
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOPRA IMPLANT SYSTEM
Generic NameOPRA IMPLANT SYSTEM
Product CodePJY
Date Received2017-11-07
Model NumberIBC0015
Catalog NumberIBC0015
Lot NumberP240890
Device Expiration Date2019-02-28
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Age6 MO
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerINTEGRUM AB
Manufacturer AddressKROKSL?TTS FABRIKER 50 M?LNDAL 41270 US 41270


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-11-07

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