UNKNOWN OTHER PRODUCTS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-12-04 for UNKNOWN OTHER PRODUCTS manufactured by Medos International Sàrl Ch.

Event Text Entries

[129297274] (b)(4). Device is available for evaluation. Investigation will be conducted. Follow up will be filed with the investigation results. 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


[129297275] Per reporter, unknown to ourselves interventional radiology were attempting a vertebroplasty, when we received a call from dr (b)(6) to come immediately as a 11g bevelled tip confidence needle had snapped in the patient. As i got the department patient was taken to day ward to wait for a theatre slot to have the needle removed as told by dr (b)(6). Speaking to dr (b)(6) i tried to gather information of how this happened but his response was that it just snapped like the others that have snapped in the past. I informed him that our product manager (ant avery) was available via phone to discuss case but he refused to talk to anyone and just said he would not be using our products again. Later i had the chance to discuss the case with interventional radiology staff and was asking how the needle snapped and was the stylet used when advancing the needle, their response was that to their knowledge the stylet was used and dr (b)(6) said the needle snapped after the cement had be delivered and when he was removing the needle from the vertebral body at the end of the procedure. The patient later in the day was sent to main theatre to have it surgically removed, i was present for this procedure and with difficulty as the cement had set, the surgeon was able to remove the part of the stylet that was protruding the pedicle whilst having to leave the remain part of the stylet in the pedicle.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1526439-2018-51124
MDR Report Key8130015
Date Received2018-12-04
Date of Report2018-11-15
Date of Event2018-11-15
Date Mfgr Received2019-02-11
Date Added to Maude2018-12-04
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 ContactKARA DITTY-BOVARD
Manufacturer Street325 PARAMOUNT DRIVE
Manufacturer CityRAYNHAM MA 02767
Manufacturer CountryUS
Manufacturer Postal02767
Manufacturer Phone6103142063
Manufacturer G1MEDOS INT SPINE
Manufacturer StreetCHEMIN BLANC 38
Manufacturer CityLE LOCLE
Manufacturer CountrySZ
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameUNKNOWN OTHER PRODUCTS
Generic NameUNKNOWN
Product CodeOAR
Date Received2018-12-04
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDOS INTERNATIONAL SàRL CH
Manufacturer AddressCHEMIN-BLANC 38 LE LOCLE 02400 SZ 02400


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2018-12-04

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