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 2020-02-19 for M6-C 6MM MEDIUM LONG CDM-635L manufactured by Spinal Kinetics Llc.
[189002526]
A review of the lot history records for this device did not reveal any non-conformances to specification or deviations in procedure. Additional information has been requested.
Patient Sequence No: 1, Text Type: N, H10
[189002527]
It was reported that a single-level patient was revised. The m6-c artificial cervical disc was removed.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3004987282-2020-00008 |
| MDR Report Key | 9729727 |
| Report Source | COMPANY REPRESENTATIVE,DISTRI |
| Date Received | 2020-02-19 |
| Date of Report | 2020-02-19 |
| Date of Event | 2020-01-24 |
| Date Mfgr Received | 2020-01-24 |
| Device Manufacturer Date | 2011-04-18 |
| Date Added to Maude | 2020-02-19 |
| 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 |
| Manufacturer Country | US |
| Manufacturer G1 | SPINAL KINETICS LLC |
| Manufacturer Street | 501 MERCURY DRIVE |
| Manufacturer City | SUNNYVALE, CA |
| Manufacturer Country | US |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | M6-C |
| Generic Name | ARTIFICIAL CERVICAL DISC |
| Product Code | MJO |
| Date Received | 2020-02-19 |
| Returned To Mfg | 2020-02-14 |
| Model Number | 6MM MEDIUM LONG |
| Catalog Number | CDM-635L |
| Lot Number | H80004531 |
| Device Expiration Date | 2016-03-31 |
| Operator | LAY USER/PATIENT |
| Device Availability | R |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SPINAL KINETICS LLC |
| Manufacturer Address | 501 MERCURY DRIVE SUNNYVALE, CA US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2020-02-19 |