FDA Adverse Event
Malfunction
Summary report: N
XMCP
MDR report key: 11703651
·
Received April 21, 2021
Report
- Report Number
- 3007289093-2021-00004
- Event Type
- Malfunction
- Date Received
- April 21, 2021
- Date of Event
- March 29, 2021
- Report Date
- April 21, 2021
- Manufacturer
- EXTREMITY MEDICAL, LLC.
- Product Code
- HWC
- PMA / PMN Number
- K121417
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT IN AN XMCP CASE, THE FIRST X-POST USED ALLOWED THE HEAD OF THE LAG SCREW TO PASS THROUGH. THE X-POST WAS EXCHANGED FOR OTHER ONE, OF THE SAME SIZE, AND IT WAS PLACED FINE. FINAL RESULT WAS GOOD AND THE JOINT COMPRESSED WELL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 596763 | XMCP | BONE SCREW | HWC | EXTREMITY MEDICAL, LLC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |