FDA Adverse Event Other Summary report: N

CALAXO 7X25MM REVERSE THREAD SCREW

MDR report key: 1010138 · Received March 10, 2008

Report

Report Number
1219602-2008-00054
Event Type
Other
Date Received
March 10, 2008
Report Date
February 6, 2008
Manufacturer
SMITH & NEPHEW INC., ENDOSCOPY DIV.
Product Code
HWC
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
HI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PROD RECALL INITIATED AUGUST 21, 2007.

Description of Event or Problem · 1

SURGEON REPORTED HE HAS A PT WHO IS 7 MONTHS S/P LEFT KNEE RECONSTRUCTION AND HAS COMPLAINTS OF A SYMPTOMATIC CYST WHICH WAS CONFIRMED ON MRI. THE PT WILL NEED TO HAVE SURGERY TO REMOVE HER CYST AND LIKELY BONE-GRAFT HER DEFECT. HOWEVER, HER ACL IS DOING VERY WELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CALAXO 7X25MM REVERSE THREAD SCREW CALAXO SCREW HWC SMITH & NEPHEW INC., ENDOSCOPY DIV. 7211114 UNK

Patients

Seq Age Sex Outcome Treatment
1