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