FDA Adverse Event
Malfunction
Summary report: N
NEXTRA HAMMERTOE CORRECTION SYSTEM
MDR report key: 10657943
·
Received October 9, 2020
Report
- Report Number
- 3009540749-2020-00035
- Event Type
- Malfunction
- Date Received
- October 9, 2020
- Date of Event
- August 12, 2020
- Report Date
- October 9, 2020
- Manufacturer
- NEXTREMITY SOLUTIONS
- Product Code
- HWC
- PMA / PMN Number
- K1100445
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 1
DEVICE HISTORY RECORDS FOR THE PRODUCT WERE REVIEWED AND REVEAL NO MANUFACTURING DEFECTS. THE PRODUCT INVOLVED IN THE EVENT WAS NOT AVAILABLE FOR REVIEW. IF ADDITIONAL INFORMATION IS OBTAINED WHICH CHANGES THE OUTCOME OF THE INVESTIGATION, A FOLLOW-UP REPORT WILL BE FILED.
Description of Event or Problem · 1
IT WAS REPORTED ONE OF THE NEXTRA HAMMERTOE CORRECTION SYSTEM COMPONENTS FAILED. NO ADDITIONAL INFORMATION PROVIDED. NO PATIENT COMPLICATIONS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1121471 | NEXTRA HAMMERTOE CORRECTION SYSTEM | BONE SCREW | HWC | NEXTREMITY SOLUTIONS | 168228317B |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |