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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYNTHES (USA); PROSTHESIS, RIB REPLACEMENT

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SYNTHES (USA); PROSTHESIS, RIB REPLACEMENT Back to Search Results
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problem No Code Available (3191)
Event Type  Injury  
Event Description
Device report from synthes (b)(4) reports an event in (b)(6) as follows: it was reported ingrave science of the patient¿s primary curvature was detected preoperatively through x-p on (b)(6) 2014.On (b)(6) 2014, the surgeon removed all the implanted veptr and implanted growing-rod.The vertical expandable prosthetic titanium rib (veptr) system implanted on the fifth rib to the lumber spine (left side) was initially used in the replacement surgery on (b)(6) 2012.This report is for the unknown veptr.This is report 1 of 1 for com-(b)(4).
 
Manufacturer Narrative
Device was used for treatment, not diagnosis.Class iii devices for eu has an unknown, udi number.This report is for the veptr system, part and lot number unknown.First device was reported to be implanted on (b)(6) 2010 and was most likely removed on the (b)(6) 2012 date reported when the revision took place with the expandable system.The new device with the implanted growing rod appears to have been implanted on (b)(6) 2014 and the revision device from (b)(6) 2012 was explanted at this time.These dates are not clear and have not been added to implant date and explant date.(b)(4).Without a lot number the device history records review could not be completed.The investigation could not be completed; no conclusion could be drawn, as no product was received.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
 
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Type of Device
PROSTHESIS, RIB REPLACEMENT
Manufacturer (Section D)
SYNTHES (USA)
1302 wrights lane east
west chester PA 19380
Manufacturer Contact
linda plews
1302 wrights lane east
west chester, PA 19380
6107195000
MDR Report Key4285764
MDR Text Key19762671
Report Number2520274-2014-15001
Device Sequence Number1
Product Code MDI
Combination Product (y/n)N
Reporter Country CodeJA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Health Professional
Type of Report Initial
Report Date 11/04/2014
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/01/2014
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 Received11/04/2014
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Type of Device Usage Unknown
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age9 YR
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