INTERARTICULAR DISC PROSTHESIS (INTERPOSITIONAL IMPLANT)

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-04-08 for INTERARTICULAR DISC PROSTHESIS (INTERPOSITIONAL IMPLANT) manufactured by Wrights Lane Synthes Usa Products Llc.

Event Text Entries

[141309881] Complainant part is not expected to be returned for manufacturer review/investigation. (b)(4): the reported event required medical/surgical intervention to preclude permanent damage to a body structure. Patient underwent a removal surgery, the prodisc c was at c3-c4, there were 2 ldr roi-c c4-c6. C5-c6 roi-c did not fuse. Without a lot number the device history records review could not be completed. The investigation could not be completed; no conclusion could be drawn, as no product was received. The investigation could not be completed; no conclusion could be drawn, as no product was received. Device was used for treatment, not diagnosis. 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


[141309882] It was reported that on an unknown date, the patient underwent a removal surgery, the prodisc c was at c3-c4, there were 2 ldr roi-c c4-c6. C5-c6 roi-c did not fuse. The device was successfully removed. It was unknown if there was a surgical delay. Procedure outcome and patient status are unknown. This complaint involves one (1) device. This report is for one (1) unk - artificial disc replacement: prodisc c. This report is 1 of 1 for (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2939274-2019-57377
MDR Report Key8493598
Date Received2019-04-08
Date of Report2019-03-14
Date Mfgr Received2019-05-10
Date Added to Maude2019-04-08
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactKARA DITTY-BOVARD
Manufacturer Street1302 WRIGHTS LANE EAST
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal19380
Manufacturer Phone6103142063
Manufacturer G1BRANDYWINE
Manufacturer Street1303 GOSHEN PARKWAY
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal Code19380
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Generic NameINTERARTICULAR DISC PROSTHESIS (INTERPOSITIONAL IMPLANT)
Product CodeMPJ
Date Received2019-04-08
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerWRIGHTS LANE SYNTHES USA PRODUCTS LLC
Manufacturer Address1302 WRIGHTS LANE EAST WEST CHESTER PA 19380 US 19380


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-04-08

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