MYSPINE MYSPINE MC DRILL BASED GUIDE L04 7.0724

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 2020-02-14 for MYSPINE MYSPINE MC DRILL BASED GUIDE L04 7.0724 manufactured by Medacta International Sa.

Event Text Entries

[188227821] Patient match planning review as per your request, we analyzed each step of the myspine process. Images qc: the images we received were subjected to quality control, the result of which was positive. Reconstruction: the reconstruction is precise and correct, all areas were clearly identifiable. The reconstructed profiles follow accurately the contour of the vertebrae: planning: the surgeon validated our first planning proposal. The guides were designed according to the trajectory of the screws in the planning validated by the surgeon. Conclusions our analysis of the myspine process of this case found no deviations from the standard procedures. Each step has been performed correctly. Additional device involved: myspine 7. 0725 myspine mc drill based guide l05 (k173472) lot. 02494s. All the items involved are related to lot number 02494s batch review performed on 28 january 2019: lot 02494s: (b)(4) guides manufactured and released on 02-jan-2020. No anomalies found related to the problem.
Patient Sequence No: 1, Text Type: N, H10


[188227822] The surgeon was not able to set the myspine mc guide correctly at l4- l5. The surgeon finished the surgery without using the myspine mc guide. Due to this event the surgery was prolonged about 1 hour. Total surgery time about 200 mins.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005180920-2020-00059
MDR Report Key9710937
Report SourceCOMPANY REPRESENTATIVE
Date Received2020-02-14
Date of Report2020-03-19
Date of Event2020-01-16
Date Mfgr Received2020-01-16
Device Manufacturer Date2020-01-02
Date Added to Maude2020-02-14
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 NameMYSPINE MYSPINE MC DRILL BASED GUIDE L04
Generic NameDRILL GUIDE FOR SPINE SURGERY
Product CodePQC
Date Received2020-02-14
Returned To Mfg2020-02-18
Catalog Number7.0724
Lot Number02494S
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDACTA INTERNATIONAL SA
Manufacturer AddressSTRADA REGINA CASTEL SAN PIETRO, 6874 SZ 6874


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-02-14

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