OPTIMESH IMPLANT 330-2705

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-08-08 for OPTIMESH IMPLANT 330-2705 manufactured by Spineology, Inc..

Event Text Entries

[116775797] Pt underwent minimally-invasive fusion of l2, l3 and l4. Bone graft (bg) was placed and post-op xrays reported showed bgs with good placement. In rr, pt c/o bilateral foot numbness and inability to dorsiflex or plantar flex feet. Ct showed bg material extruding from l4 and l2. The pt was returned to operating room and surgeon removed the bg bags from l4 and l2. Unable to get all of the bg material out.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5078972
MDR Report Key7768715
Date Received2018-08-08
Date of Report2018-07-27
Date of Event2018-06-25
Date Added to Maude2018-08-09
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 1

Brand NameOPTIMESH IMPLANT
Generic NameMESH, SURGICAL, METAL
Product CodeEZX
Date Received2018-08-08
Catalog Number330-2705
Lot NumberS14252
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerSPINEOLOGY, INC.
Manufacturer Address7800 3RD STREET NORTH STE 600 ST. PAUL MN 551285455 US 551285455

Device Sequence Number: 2

Brand NameOPTIMESH IMPLANT
Generic NameMESH, SURGICAL, METAL
Product CodeEZX
Date Received2018-08-08
Catalog Number330-2505
Lot NumberS80143
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerSPINEOLOGY, INC.
Manufacturer Address7800 3RD STREET NORTH STE 600 ST. PAUL MN 551285455 US 551285455

Device Sequence Number: 3

Brand NameOPTIMESH IMPLANT
Generic NameMESH, SURGICAL, METAL
Product CodeEZX
Date Received2018-08-08
Catalog Number530-6545
Lot NumberS80551
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No3
Device Event Key0
ManufacturerSPINEOLOGY, INC.
Manufacturer Address7800 3RD STREET NORTH STE 600 ST. PAUL MN 551285455 US 551285455


Patients

Patient NumberTreatmentOutcomeDate
10 2018-08-08

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