FDA Adverse Event Death Summary report: N

ELEOS

MDR report key: 18534753 · Received January 18, 2024

Report

Report Number
3013450937-2024-00012
Event Type
Death
Date Received
January 18, 2024
Date of Event
December 5, 2023
Report Date
March 18, 2024
Manufacturer
ONKOS SURGICAL
Product Code
KRO
UDI-DI
B278CB1515203M0
PMA / PMN Number
K161520
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BASED ON THE REVIEW OF DEVICE HISTORY RECORDS, THE INVESTIGATION CONCLUDED THAT THE ROOT CAUSE OF THIS ADVERSE EVENT WAS NOT RELATED TO THE DESIGN, MANUFACTURE, AND/OR STERILIZATION OF THE ELEOS DEVICES. THE INVESTIGATION CONCLUDED THAT INTRAOPERATIVE EMBOLISM IS A PROCEDURE-RELATED COMPLICATION AND IS UNRELATED TO THE DEVICE.

Description of Event or Problem · 0

CANCER PATIENT. PATIENT EXPERIENCED AN EMBOLISM IN CANAL AFTER STEM WAS CEMENTED IN FEMUR. THE PATIENT CRASHED AND PASSED AWAY ON THE TABLE DURING THE SURGERY.

Description of Event or Problem · 0

IT WAS REPORTED BY H. LEWIS, AN ONKOS SALES REPRESENTATIVE, THAT A FEMALE PATIENT IN HER 70'S TERMINALLY SUFFERED FROM AN INTRAOPERATIVE EMBOLISM DURING THE PRIMARY SURGERY TO IMPLANT AN ELEOS PROXIMAL FEMUR REPLACEMENT ON (B)(6) 2023. BONE CEMENT WAS UTILIZED TO FIXATE THE CEMENTED SEGMENTAL STEM IN THE PROXIMAL FEMUR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
868776 ELEOS CEMENTED STEM BOWED KRO ONKOS SURGICAL 90762-005 B278CB1515203M0

Patients

Seq Age Sex Outcome Treatment
1 75 YR Female Death 32MM FEMORAL HEAD +3.5 COCR - PLANNED USE| ELEOS 40MM MIDSECTION - PLANNED USE| RIGHT PROXIMAL FEMUR SEGMENT - PLANNED USE