Catalog Number 5444-0-300 |
Device Problems
Fitting Problem (2183); Patient-Device Incompatibility (2682); Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problem
No Known Impact Or Consequence To Patient (2692)
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Event Date 01/29/2016 |
Event Type
malfunction
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Manufacturer Narrative
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An evaluation of the device cannot be performed as the device remained implanted in the patient and was not returned to the manufacturer.Additional information has been requested but not made available due hospital policy.Should additional information become available it will be reported in a supplemental report upon completion of the investigation.
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Event Description
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Pmma cranial implant did not fit patient dimensions.There was a surgical delay of about 45 minutes, but the part was ultimately used after modifications and the use of additional devices.The sales rep was present during the case.
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Manufacturer Narrative
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An event regarding a size/fit issue involving a cmf customized implant kit large was reported.The event was confirmed.Method & results: device evaluation and results: images during the revision surgery were provided and showed that the back of the implant sat proud and the front of the implant sat flush on the brain.Medical records received and evaluation: no patient medical records were available for review.Device history review indicated the devices accepted into final stock from the reported lot were free from discrepancies.Complaint history review: there has been no other event for the lot referenced.Conclusions: the investigation concluded that the images provided indicated that the implant did not fit correctly.The cmf team confirmed the surgeon requested and approved this design.If the devices and/or additional information are received, this investigation will be reopened and re-evaluated.
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Event Description
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Pmma cranial implant did not fit patient dimensions.There was a surgical delay of about 45 minutes, but the part was ultimately used after modifications and the use of additional devices.The sales rep was present during the case.
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Search Alerts/Recalls
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