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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ISOTIS ORTHOBIOLOGICS INC. SYNPLUG CEMENT RESTRICTOR; CEMENT OBTURATOR

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ISOTIS ORTHOBIOLOGICS INC. SYNPLUG CEMENT RESTRICTOR; CEMENT OBTURATOR Back to Search Results
Model Number 804022
Device Problems Patient-Device Incompatibility (2682); Patient Device Interaction Problem (4001)
Patient Problem Osteolysis (2377)
Event Date 02/15/2023
Event Type  malfunction  
Manufacturer Narrative
The radiographs provided indicate the biodegradable cement restrictor has degraded; literature suggests further deterioration of the hip prosthesis may occur, placing the joint at risk of fracture.Although it is associated with osteolysis, it is not clear if the phenomenon is caused by the device or if other physiologic processes/interactions are contributory.Field safety corrective action (fsca-o-hhe-701) was undertaken to provide safety alert to physicians regarding the possible risk.At or around that time (2014), market withdrawal and destruction of unused product occurred.The prosthesis remains implanted; no revision has occurred.This is consistent with the majority of similar reports.
 
Event Description
Osteolysis in the area of the synplug was observed via radiography during a follow-up visit 12 years postoperatively.
 
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Brand Name
SYNPLUG CEMENT RESTRICTOR
Type of Device
CEMENT OBTURATOR
Manufacturer (Section D)
ISOTIS ORTHOBIOLOGICS INC.
2 goodyear, suite a
irvine CA 92618
Manufacturer (Section G)
ISOTIS ORTHOBIOLOGICS INC.
2 goodyear, suite a
irvine CA 92618
Manufacturer Contact
audrey mudderman
5770 armada dr.
carlsbad, CA 92008
7602165137
MDR Report Key16545792
MDR Text Key311329031
Report Number3001503333-2023-00001
Device Sequence Number1
Product Code LZN
Combination Product (y/n)N
Reporter Country CodeSZ
PMA/PMN Number
K010840
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 03/14/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/15/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number804022
Device Catalogue Number804022
Device Lot Number200378B
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/24/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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