HEMICAP? MTP RESURFACING HEMI-ARTHROPLASTY IMPLANT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-03-02 for HEMICAP? MTP RESURFACING HEMI-ARTHROPLASTY IMPLANT manufactured by Arthrosurface, Inc..

Event Text Entries

[101465660] The patient had 2 failed surgeries prior to receiving arthrosurface toe hemicap implant in (b)(6) 2016. After the surgery, she never got more than 15? Of dorsiflexion and is experiencing pain in the joint area. The reason for reported issues cannot be ascertained due to availability of limited information. Without part and lot information of the device(s) implanted, an investigation of the device history or performance cannot be conducted. There is no reasonable evidence from the information provided that arthrosurface device(s) had contributed to the reported pain and loss of motion. Arthrosurface has directed the patient to our website for additional physician information in case another opinion is desired. Any additional information received regarding this complaint will be reported through a supplemental mdr as necessary.
Patient Sequence No: 1, Text Type: N, H10


[101465661] Patient reached out to arthrosurface via website to inquire if arthrosurface toemotion is an option after a failed hemicap. The patient stated that she never had adequate range of motion (rom) and currently experiencing pain.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004154314-2018-00005
MDR Report Key7311222
Date Received2018-03-02
Date of Report2018-01-31
Date Mfgr Received2018-01-31
Date Added to Maude2018-03-02
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. 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 NameHEMICAP? MTP RESURFACING HEMI-ARTHROPLASTY IMPLANT
Generic NameMTP HEMI-TOE PROSTHESIS
Product CodeKWD
Date Received2018-03-02
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 2018-03-02

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