NEUFLEX PIP IMPLANT SZ 1 123310000

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 2018-10-24 for NEUFLEX PIP IMPLANT SZ 1 123310000 manufactured by Depuy Orthopaedics Inc Us.

Event Text Entries

[124838951] (b)(4). If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10


[124838952] On (b)(6) a neuflex joint revision was done due to a broken neuflex implant. The old neuflex was removed and the same size was put in. I do not have access to the broken implant. I do not have patient information and i do not know when the original surgery took place. The reason for the delay of report is that i typically do not do joint cases and wasn't familiar with the complaint process. Patient consequence? No. Is the information being submitted for this complaint all the details that are known/available regarding this event? Yes.
Patient Sequence No: 1, Text Type: D, B5


[128409091] (b)(4). Investigation summary: no device associated with this report was received for examination. Depuy considers the investigation closed at this time. Should additional information be received, the information will be reviewed and the investigation will be re-opened as necessary. If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1818910-2018-73389
MDR Report Key8000046
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2018-10-24
Date of Report2018-10-03
Date of Event2018-10-03
Date Mfgr Received2018-11-26
Date Added to Maude2018-10-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMRS. KARA DITTY-BOVARD
Manufacturer Street1210 WARD AVENUE
Manufacturer CityWEST CHESTER PA 19380XXXX
Manufacturer CountryUS
Manufacturer Postal19380XXXX
Manufacturer Phone6103142063
Manufacturer G1DEPUY ORTHOPAEDICS, INC. 1818910
Manufacturer Street700 ORTHOPAEDIC DRIVE
Manufacturer CityWARSAW IN 465820988
Manufacturer CountryUS
Manufacturer Postal Code465820988
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNEUFLEX PIP IMPLANT SZ 1
Generic NameNEUFLEX IMPLANT : FINGER IMPLANT
Product CodeKYJ
Date Received2018-10-24
Catalog Number123310000
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerDEPUY ORTHOPAEDICS INC US
Manufacturer Address700 ORTHOPAEDIC DRIVE WARSAW IN 465820988 US 465820988


Patients

Patient NumberTreatmentOutcomeDate
10 2018-10-24

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