ARTHROSURFACE TOEMOTION 9P15-S180-A & 9P15-PB01-A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-12-13 for ARTHROSURFACE TOEMOTION 9P15-S180-A & 9P15-PB01-A manufactured by Arthrosurface, Inc..

Event Text Entries

[95596668] There was no trauma or injury to the patient according to rep who attended the revision case. Arthrosurface obtained feedback from various surgeons regarding post-op images of the implant. The immediate post-op x-ray with a linear opacity around the implant suggests a technical error placing the tap too deep on both sides of the mtp joint which could result in poor fixation immediately and allows debris to get around the implant. Apart from review of the x-rays, device history records (dhrs) of all implant lots in question were reviewed and noted that all parts were manufactured to specification. Additionally, performance history (number of cases recorded) of the implant lots in question was reviewed and noted that no issues or complaints were reported till date. The patient is currently revised to an implant of another manufacturer and all arthrosurface components have been explanted. Arthrosurface will continue to monitor for similar issues. The manufacturing and expiration dates of the phalangeal components in question are: part # 9p15-s180-a, lot # 75ae3004, mfg. Date: 2015-03, exp. Date: 2020-03. Part # 9p15-pb01-a, lot # 75ae3014, mfg. Date: 2015-02, exp. Date: 2020-02.
Patient Sequence No: 1, Text Type: N, H10


[95596669] Arthrosurface was notified of a revision case where the patient was revised due to loosening of phalangeal implant and bone loss.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004154314-2017-00024
MDR Report Key7112663
Date Received2017-12-13
Date of Report2017-12-07
Date Mfgr Received2017-12-07
Date Added to Maude2017-12-13
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 EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
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 G1PRIMO MEDICAL GROUP
Manufacturer Street75 MILL ST
Manufacturer CitySTOUGHTON MA 02072
Manufacturer CountryUS
Manufacturer Postal Code02072
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameARTHROSURFACE TOEMOTION
Generic NameARTHROSURFACE? TOTAL TOE - PROXIMAL PHALANX IMPLANT
Product CodeLZJ
Date Received2017-12-13
Catalog Number9P15-S180-A & 9P15-PB01-A
Lot Number75AE3004 & 75AE3014
OperatorPHYSICIAN
Device AvailabilityN
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 2017-12-13

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