MOTO PARTIAL KNEE ANATOMICAL FEMORAL COMPONENT CEMENTED S2 RM 02.18.002RM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2020-01-08 for MOTO PARTIAL KNEE ANATOMICAL FEMORAL COMPONENT CEMENTED S2 RM 02.18.002RM manufactured by Medacta International Sa.

Event Text Entries

[174858043] Batch review performed on 20 december 2019. Lot 189248:(b)(4) items manufactured and released on 23-jan-2019. Expiration date: 2024-01-10. No anomalies found related to the problem. To date, (b)(4) items of the same lot have been already sold without any similar reported event. Other devices involved in the event: moto partial knee 02. 18. If2. 09. Rm tibial insert fix s2 rm - 8mm lot. 168049 (k162084). Batch review performed on 20 december 2019. Lot 168049: (b)(4) items manufactured and released on 17-jan-2017. Expiration date: 2021-12-18. No anomalies found related to the problem. To date, (b)(4) items of the same lot have been already sold without any similar reported event. Moto partial knee 02. 18. Tf2. Rm tibial tray fix cemented s2 rm lot. 184276 (k162084). Batch review performed on 20 december 2019. Lot 184276: (b)(4) items manufactured and released on 02-oct-2018. Expiration date: 2023-09-19. No anomalies found related to the problem. To date, (b)(4) items of the same lot have been already sold with one other similar event reported.
Patient Sequence No: 1, Text Type: N, H10


[174858044] Revision surgery performed after 5 months from the primary due to instability due to a stiff knee. The cause of the stiff knee is unknown. The surgeon revised the femoral component, tibial tray, and insert and the surgery was completed successfully.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005180920-2019-01112
MDR Report Key9562264
Report SourceCOMPANY REPRESENTATIVE
Date Received2020-01-08
Date of Report2020-01-08
Date of Event2019-12-09
Date Mfgr Received2019-12-09
Device Manufacturer Date2019-01-23
Date Added to Maude2020-01-08
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, 6874
Manufacturer CountrySZ
Manufacturer Postal Code6874
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMOTO PARTIAL KNEE ANATOMICAL FEMORAL COMPONENT CEMENTED S2 RM
Generic NamePARTIAL KNEE ANATOMICAL FEMORAL COMPONENT CEMENTED
Product CodeHSX
Date Received2020-01-08
Catalog Number02.18.002RM
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. Required No Informationntervention 2020-01-08

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