FDA Adverse Event
Malfunction
Summary report: N
EBI TROCHANTERIC NAIL SYSTEM
MDR report key: 1021610
·
Received March 25, 2008
Report
- Report Number
- 2242816-2008-00043
- Event Type
- Malfunction
- Date Received
- March 25, 2008
- Date of Event
- February 12, 2008
- Report Date
- March 19, 2008
- Manufacturer
- EBI
- Product Code
- HSB
- PMA / PMN Number
- K050118
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THE NAIL WAS FOUND BROKEN AT THE TIP OF THE LAG SCREW HOLE. THIS WAS DISCOVERED UPON SCHEDULED HARDWARE REMOVAL AND WAS NOT THE REASON FOR HARDWARE REMOVAL. PT STATUS IS GOOD.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | EBI TROCHANTERIC NAIL SYSTEM | HSB | EBI | 209374 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 78 YR |