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 from a distributor report with the FDA on 2019-11-20 for MYSPINE S01 DRILL BASED GUIDE 7.0726 manufactured by Medacta International Sa.

Event Text Entries

[177397606] Batch review performed on 04-nov-2019: lot 02007s: (b)(4) items manufactured and released on 17-sep-2019. No anomalies found related to the problem. Mysolution analysis: our analysis of the myspine process of this case found no deviations from the standard procedures. Each step has been performed correctly. The guide size and the position of the tubes depend on the planned trajectory.
Patient Sequence No: 1, Text Type: N, H10


[177397607] During the primary spine surgery, while the surgeon was drilling the s1 guide holes, the surgeon observed that the s01 guide was too large for the incision made. The surgeon had to make his incision larger in order to use the s01 guide. There was a 35-minute delay in the case and no additional anaesthesia was used. The surgery was completed successfully. Case code: (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005180920-2019-00975
MDR Report Key9346918
Report SourceDISTRIBUTOR
Date Received2019-11-20
Date of Report2019-11-20
Date of Event2019-10-23
Date Mfgr Received2019-10-23
Device Manufacturer Date2019-09-17
Date Added to Maude2019-11-20
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
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, 6874
Manufacturer CountrySZ
Manufacturer Postal Code6874
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMYSPINE S01 DRILL BASED GUIDE
Generic NameDRILL BASED GUIDE
Product CodePQC
Date Received2019-11-20
Catalog Number7.0726
Lot Number02007S
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerMEDACTA INTERNATIONAL SA
Manufacturer AddressSTRADA REGINA CASTEL SAN PIETRO, 6874 SZ 6874


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-11-20

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