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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CARTIVA, INC. CARTIVA SCI

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CARTIVA, INC. CARTIVA SCI Back to Search Results
Device Problem Material Fragmentation (1261)
Patient Problems Unspecified Infection (1930); Pain (1994)
Event Date 02/02/2018
Event Type  Injury  
Manufacturer Narrative
The medwatch report did not include the product catalog and lot number involved in this event.As a result, a review of the quality and manufacturing records for the involved product lot could not be carried out.As the patient did not include their contact information, the alleged outcomes attributed to this event could not be confirmed.In addition, contact information for the involved surgeon for this event were not made available.As a result, the involved physician could not be contacted to receive their expert opinion in regards to this event.Finally, the involved device was not available for evaluation.Therefore, no investigation into this occurrence could be performed.If additional information is received in the future, this file will be re-opened for assessment/ investigation and updated accordingly.
 
Event Description
Fda medwatch patient report (mw5088853).According to the information provided, the subject received a cartiva implant in their right mtp.The patient reported a staphylococcus infection occuring right after surgery, continued pain after 2 weeks postoperative, and, per the implanting physician, the device had broken, requiring a removal.The implant date provided is (b)(6) 2017; explant date is (b)(6) 2018.The patient did not provide their contact invormation, involved surgeon name or contact information, not product catalog and lot number.
 
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Brand Name
CARTIVA SCI
Type of Device
CARTIVA SCI
Manufacturer (Section D)
CARTIVA, INC.
6120 windward parkway
suite 220
alpharetta GA 30005
Manufacturer (Section G)
CARTIVA, INC.
1005 alderman drive
suite 208
alpharetta GA 30005
Manufacturer Contact
tanya eberle
6120 windward parkway
suite 220
alpharetta, GA 30005
7707543814
MDR Report Key9100236
MDR Text Key163639402
Report Number3009351194-2019-00019
Device Sequence Number1
Product Code PNW
Combination Product (y/n)N
PMA/PMN Number
P150017
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Type of Report Initial
Report Date 09/20/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator No Information
Initial Date Manufacturer Received 08/26/2019
Initial Date FDA Received09/20/2019
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; Other; Required Intervention; Disability;
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