MAUDE Adverse Event Report: ONKOS SURGICAL ELEOS; PROXIMAL FEMUR, 98MM, RIGHT, 135 DEG

Model Number PF-2000R-02M

Device Problem Adverse Event Without Identified Device or Use Problem (2993)

Patient Problems Unspecified Infection (1930); Insufficient Information (4580)

Event Date 01/06/2023

Event Type  Injury  

Manufacturer Narrative

The investigation is in progress.When it is complete a supplemental mdr will be submitted accordingly.Mulitple mdrs were submitted for this adverse event: 3013450937-2023-00015, 3013450937-2023-00016, 3013450937-2023-00017, 3013450937-2023-00018, 3013450937-2023-00019, 3013450937-2023-00020, 3013450937-2023-00021, 3013450937-2023-00022, 3013450937-2023-00023 and 3013450937-2023-00024.The following mdr was also submitted for this patient: 3013450937-2021-00061.

Event Description

Patient was revised on (b)(6) 2023 due to an alleged infection.During this revision surgery the following implants were revised: eleos tibial hinge component, eleos tibial poly spacer and eleos distal femur axial pin.No additional information regarding this adverse event has been provided.

Event Description

Patient was revised on (b)(6) due to an alleged infection.During this revision surgery the following implants were revised: eleos tibial hinge component, eleos tibial poly spacer and eleos distal femur axial pin.No additional information regarding this adverse event has been provided.

Manufacturer Narrative

This report is being submitted to include additional information.The investigation is complete.The device was not returned for evaluation.The root cause of the alleged infection could not be determined.If any additional information is obtained, a supplemental mdr will be filed accordingly.

• Brand Name: ELEOS
• Type of Device: PROXIMAL FEMUR, 98MM, RIGHT, 135 DEG
• Manufacturer (Section D): ONKOS SURGICAL; 77 east halsey road; parsippany NJ 07054
• Manufacturer (Section G): PHILLIPS PRECISION INC.; 7 paul kohner place; elmwood park NJ 07407
• Manufacturer Contact: danielle pierce ; 77 east halsey road; parsippany, NJ 07054 ; 8447672766
• MDR Report Key: 16297134
• MDR Text Key: 308781170
• Report Number: 3013450937-2023-00025
• Device Sequence Number: 1
• Product Code: KRO
• UDI-Device Identifier: B278PF2000R02M0
• UDI-Public: B278PF2000R02M0
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: K161520
• Number of Events Reported: 1
• 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: 05/05/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 02/03/2023
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Health Professional
• Device Model Number: PF-2000R-02M
• Device Catalogue Number: PF-2000R-02M
• Device Lot Number: 87947-007
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 04/06/2023
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Date Device Manufactured: 07/06/2020
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Treatment: 25000009E ELEOS DISTAL FEMUR, RIGHT, SEGMENTAL; 25001070E ELEOS MALE-FEMALE MIDSECTION, 70MM; 25001090E ELEOS MALE-FEMALE MIDSECTION, 90MM; 25001110E ELEOS MALE-FEMALE MIDSECTION, 110MM; 25001208E ELEOS TIBIAL POLY SPACER; 25002100E ELEOS TIBIAL HINGE COMPONENT; 25002111E ELEOS DISTAL FEMUR AXIAL PIN; 25002205E ELEOS TIBIAL BASEPLATE, SIZE: 5; KSP13140E ELEOS STEM EXTENSION, CANAL FILLING; MS-070MM-02M ELEOS MALE-MALE MIDSECTION, 70MM
• Patient Outcome(s): Hospitalization; Required Intervention
• Patient Age: 26 YR
• Patient Sex: Male