MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,distri report with the FDA on 2020-01-15 for M-6C 6MM LARGE CDL-627 manufactured by Spinal Kinetics Llc.
[178354505]
The explanted disc will not be returned. A review of the lot history records for this device did not reveal any non-conformances to specification or deviations in procedure.
Patient Sequence No: 1, Text Type: N, H10
[178354506]
It was reported that a single-level patient was revised due to pain.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3004987282-2020-00004 |
| MDR Report Key | 9594239 |
| Report Source | COMPANY REPRESENTATIVE,DISTRI |
| Date Received | 2020-01-15 |
| Date of Report | 2020-01-15 |
| Date of Event | 2019-10-31 |
| Date Mfgr Received | 2019-12-24 |
| Device Manufacturer Date | 2010-08-09 |
| Date Added to Maude | 2020-01-15 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. NEAL DEFIBAUGH |
| Manufacturer Street | 501 MERCURY DRIVE |
| Manufacturer City | SUNNYVALE CA 94085 |
| Manufacturer Country | US |
| Manufacturer Postal | 94085 |
| Manufacturer G1 | SPINAL KINETICS LLC |
| Manufacturer Street | 501 MERCURY DRIVE |
| Manufacturer City | SUNNYVALE CA 94085 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 94085 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | M-6C |
| Generic Name | ARTIFICIAL CERVICAL DISC |
| Product Code | MJO |
| Date Received | 2020-01-15 |
| Model Number | 6MM LARGE |
| Catalog Number | CDL-627 |
| Lot Number | H80003598 |
| Device Expiration Date | 2015-07-31 |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SPINAL KINETICS LLC |
| Manufacturer Address | 501 MERCURY DRIVE SUNNYVALE CA 94085 US 94085 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2020-01-15 |