UNKNOWN PLATES

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2018-07-19 for UNKNOWN PLATES manufactured by Medos International Sàrl Ch.

Event Text Entries

[114487011] (b)(4). A complaint investigation will be performed. The complaint product is not available for the investigation. A supplemental report is not anticipated unless the results of the complaint investigation identify a corrective action or additional relevant information. Should the product become available, a physical evaluation will be conducted and a supplemental report filed with the results. If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10


[114487012] This report is being filed after the subsequent review of the following literature article: a comparison of a new zero-profile, stand-alone fidji cervical cage and anterior cervical plate for single and multilevel acdf: a minimum 2-year follow-up study zhonghai li1,2,3? Yantao zhao1,2? Jiaguang tang1,2? Dongfeng ren1,2? Jidong guo1,2? Huadong wang1,2? Li li1,2? Shuxun hou1,2 eur spine j (2017) 26:1129? 1139. Received: 8 december 2015 / revised: 16 july 2016 / accepted: 6 august 2016 / published online: 23 august 2016. N=1: implant dislodgement. N=2: post op breakage.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1526439-2018-50700
MDR Report Key7704033
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2018-07-19
Date of Report2018-06-21
Date Mfgr Received2018-06-21
Date Added to Maude2018-07-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJASON BUSCH
Manufacturer Street325 PARAMOUNT DRIVE
Manufacturer CityRAYNHAM MA 02767
Manufacturer CountryUS
Manufacturer Postal02767
Manufacturer Phone5088808100
Manufacturer G1MEDOS INT SPINE
Manufacturer StreetCHEMIN BLANC 38
Manufacturer CityLE LOCLE
Manufacturer CountrySZ
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN PLATES
Generic NameUNKNOWN
Product CodeKTW
Date Received2018-07-19
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDOS INTERNATIONAL SàRL CH
Manufacturer AddressCHEMIN-BLANC 38 LE LOCLE 02400 SZ 02400


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-07-19

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