MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-05 for M6-C 7MM LARGE LONG CDL-737L manufactured by Spinal Kinetics Llc.
[189002540]
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
[189002541]
It was reported that the implant became lordotic & surgical site became infected subsequent to a fall.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 3004987282-2020-00010 |
MDR Report Key | 9795515 |
Report Source | COMPANY REPRESENTATIVE,HEALTH |
Date Received | 2020-03-05 |
Date of Report | 2020-03-05 |
Date of Event | 2020-02-06 |
Date Mfgr Received | 2020-02-07 |
Device Manufacturer Date | 2018-11-12 |
Date Added to Maude | 2020-03-05 |
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 | 2020-03-05 |
Returned To Mfg | 2020-02-10 |
Model Number | 7MM LARGE LONG |
Catalog Number | CDL-737L |
Lot Number | 10766 |
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 | 2020-03-05 |