MYSPINE S01 DRILL BASED GUIDE 7.0726

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-12-12 for MYSPINE S01 DRILL BASED GUIDE 7.0726 manufactured by Medacta International Sa.

Event Text Entries

[130470255] Other device involved: myspine s01 vertebra reference 7. 0706 (k173472); batch review performed on 12 december 2018; lot 00981s: (b)(4) items manufactured and released on 31 october 2018. Expiration date: 2019-03-14; no anomalies found related to the problem. Investigation performed by mysolution department on november 21, 2018. Our analysis of the myspine process of this case found no deviations from the standard procedures. Each step has been performed correctly.
Patient Sequence No: 1, Text Type: N, H10


[130470256] The surgeon was not able to drill safety because the sleeve part length of myspine s01 drill based guide was too short in comparison with others. Moreover it was not able to set on the spinal bone stable. The surgeon drilled only the entry point under the imaging and proceeded freehand drilling causing a critical delay in the surgery.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005180920-2018-00986
MDR Report Key8155012
Date Received2018-12-12
Date of Report2019-01-17
Date of Event2018-11-12
Date Mfgr Received2018-11-12
Device Manufacturer Date2018-10-31
Date Added to Maude2018-12-12
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 STEFANO BAJ
Manufacturer StreetSTRADA REGINA
Manufacturer CityCASTEL SAN PIETRO, SWITZERLAND 6874
Manufacturer CountrySZ
Manufacturer Postal6874
Manufacturer G1MEDACTA INTERNATIONAL SA
Manufacturer StreetSTRADA REGINA
Manufacturer CityCASTEL SAN PIETRO, SWITZERLAND 6874
Manufacturer CountrySZ
Manufacturer Postal Code6874
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameMYSPINE S01 DRILL BASED GUIDE
Generic NameDRILL BASED GUIDE
Product CodePQC
Date Received2018-12-12
Returned To Mfg2018-12-17
Catalog Number7.0726
Lot Number00981S
Device Expiration Date2019-03-14
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDACTA INTERNATIONAL SA
Manufacturer AddressSTRADA REGINA CASTEL SAN PIETRO, SWITZERLAND 6874 SZ 6874


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-12-12

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