OPTIMESH 330-2505

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2018-11-06 for OPTIMESH 330-2505 manufactured by Spineology Inc..

Event Text Entries

[126297226]
Patient Sequence No: 1, Text Type: N, H10


[126297227] During placement of the implant and graft for a lumbar interbody fusion procedure, a portion of the device was filled into the spinal canal, resulting in cauda equina syndrome. Patient was returned to surgery due to postoperative symptoms. The surgeon reported that the device was found intact but protruding in the canal. It was removed and replaced with an interbody spacer. Patient is reported to have impaired bladder control, limited plantar flexion and dorsiflexion, and lower extremity numbness which is gradually improving.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2135156-2018-00011
MDR Report Key8043440
Report SourceHEALTH PROFESSIONAL
Date Received2018-11-06
Date of Report2018-11-06
Date of Event2018-10-18
Date Mfgr Received2018-10-22
Device Manufacturer Date2018-05-01
Date Added to Maude2018-11-06
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 ContactMS KAREN ROCHE
Manufacturer Street7800 THIRD STREET N. SUITE 600
Manufacturer CitySAINT PAUL MN 551285455
Manufacturer CountryUS
Manufacturer Postal551285455
Manufacturer Phone6512568500
Manufacturer G1SPINEOLOGY INC.
Manufacturer Street7800 3RD STREET N. SUITE 600
Manufacturer CityST. PAUL MN 551285455
Manufacturer CountryUS
Manufacturer Postal Code551285455
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOPTIMESH
Generic NameMESH, GRAFT CONTAINMENT
Product CodeEZX
Date Received2018-11-06
Catalog Number330-2505
Lot NumberS80298
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSPINEOLOGY INC.
Manufacturer Address7800 THIRD STREET N. SUITE 600 SAINT PAUL,


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2018-11-06

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