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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEPUY SPINE INC CONFIDENCE SPINAL CEMENT SYSTEM; CEMENT, BONE, VERTEBROPLASTY

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DEPUY SPINE INC CONFIDENCE SPINAL CEMENT SYSTEM; CEMENT, BONE, VERTEBROPLASTY Back to Search Results
Catalog Number 283910000
Medical Device Problem Code Chemical Problem (2893)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/08/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803 (and/or part 4, as applicable).This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes, or its employees that the report constitutes an admission that the product, depuy synthes, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.Additional narrative: d4: udi: the expiration date is currently not available.Therefore, the full udi is currently not available.
 
Event or Problem Description
Insufficient mixing liquid: after opening the bottle and stirring, it cannot be mixed evenly; some cement remains in powder form.Only half the normal usage amount is squeezed into the bottle.A new bottle was used.There was no patient consequence.
 
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Brand Name
CONFIDENCE SPINAL CEMENT SYSTEM
Common Device Name
CEMENT, BONE, VERTEBROPLASTY
Manufacturer (Section D)
DEPUY SPINE INC
325 paramount drive
raynham MA 02767
Manufacturer Contact
elba bello
325 paramount drive
raynham, MA 02767
9083863534
MDR Report Key24957902
Report Number1526439-2026-00447
Device Sequence Number12114150
Product Code NDN
UDI-Device Identifier10705034209623
UDI-Public(01)10705034209623
Combination Product (Y/N)N
Initial Reporter CountryTW
PMA/510(K) Number
K060300
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup,Followup,Followup
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue Number283910000
Device Lot Number444049
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 04/07/2026
Supplement Date Received by Manufacturer04/29/2026
05/13/2026
06/15/2026
Initial Report FDA Received Date04/22/2026
Supplement Report FDA Received Date05/05/2026
05/14/2026
06/16/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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