MOTO PARTIAL KNEE ANATOMICAL FEMORAL COMPONENT CEMENTED S6 RM 02.18.006RM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2020-02-12 for MOTO PARTIAL KNEE ANATOMICAL FEMORAL COMPONENT CEMENTED S6 RM 02.18.006RM manufactured by Medacta International Sa.

Event Text Entries

[178756419] Batch review performed on 22. 01. 2020: lot 167879: (b)(4) items manufactured and released on 15. 02. 2017. Expiration date: 2022-02-06. No anomalies found related to the problem. To date, (b)(4) items of the same lot have been already sold without any other similar reported event since 2016. Other devices involved in the event. Moto partial knee 02. 18. Tf5. Rm tibial tray fix cemented s5 rm lot. 167759 (k162084). Batch review performed on 22. 01. 2020: lot 167759: (b)(4) items manufactured and released on 21. 02. 2017. Expiration date: 2022-02-07. No anomalies found related to the problem. To date, (b)(4) items of the same lot have been already sold without any other similar reported event since 2016. Moto partial knee 02. 18. If5. 08. Rm tibial insert fix s5 rm 8mm lot. 167817 (k162084). Batch review performed on 22. 01. 2020: lot 167817: (b)(4) items manufactured and released on 03. 01. 2017. Expiration date: 2021-12-01. No anomalies found related to the problem. To date, (b)(4) items of the same lot have been already sold with one similar reported event since 2016.
Patient Sequence No: 1, Text Type: N, H10


[178756420] Revision surgery performed 9 months after the primary due to signs of an infection and the pathogen is unknown. The surgeon removed the femoral component, tibial tray, and insert and implanted a femur, patella and liner. The surgeon will wait for the infection to clear before implanting permanent hardware.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005180920-2020-00041
MDR Report Key9698646
Report SourceOTHER
Date Received2020-02-12
Date of Report2020-02-12
Date of Event2020-01-14
Date Mfgr Received2020-01-13
Device Manufacturer Date2017-02-15
Date Added to Maude2020-02-12
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, 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 S6 RM
Generic NamePARTIAL KNEE ANATOMICAL FEMORAL COMPONENT CEMENTED
Product CodeHSX
Date Received2020-02-12
Model Number02.18.006RM
Catalog Number02.18.006RM
Lot Number167879
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 2020-02-12

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