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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ONKOS SURGICAL ELEOS; SEGMENTAL STEM

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ONKOS SURGICAL ELEOS; SEGMENTAL STEM Back to Search Results
Device Problems Adverse Event Without Identified Device or Use Problem (2993); Loosening of Implant Not Related to Bone-Ingrowth (4002)
Patient Problems Hypersensitivity/Allergic reaction (1907); Joint Laxity (4526); Insufficient Information (4580)
Event Date 08/08/2023
Event Type  Injury  
Event Description
It was reported that the patient had a loose stem and a potential nickel allergy.The patient will be undergoing a revision surgery, however, it has not been scheduled yet.Attempts have been made and no further information was made available.
 
Manufacturer Narrative
The investigation is in progress.When it is complete a supplemental mdr will be submitted accordingly.
 
Manufacturer Narrative
The patient underwent a revision surgery on 11 october 2023 due to a suspected stem loosening and nickel allergy.An eleos dfr was revised with custom implants via onkos my 3d case # (b)(4) with tin coating.It is unknown when the original surgery took place and what was implanted.Ultimately, the root cause of the patient's infection was unable to be determined.A review of the work order and sterilization batch release record for the product involved could not be performed as the product information is unknown.However, device history records are reviewed prior to releasing products to the field to verify that the products have been manufactured to their required specification, as well as inspected to ensure compliance with their engineering drawing.If additional information is received regarding this event, this complaint will be updated accordingly.
 
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Brand Name
ELEOS
Type of Device
SEGMENTAL STEM
Manufacturer (Section D)
ONKOS SURGICAL
77 east halsey road
parsippany NJ 07054
Manufacturer Contact
vandita patel
77 east halsey road
parsippany, NJ 07054
8447672766
MDR Report Key17704565
MDR Text Key322924587
Report Number3013450937-2023-00202
Device Sequence Number1
Product Code KRO
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 09/07/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received09/07/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received10/17/2023
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
Patient Outcome(s) Hospitalization;
Patient SexFemale
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