FDA Adverse Event
Injury
Summary report: N
HYPROCURE
MDR report key: 11852029
·
Received May 19, 2021
Report
- Report Number
- 3004993707-2021-00017
- Event Type
- Injury
- Date Received
- May 19, 2021
- Date of Event
- November 13, 2013
- Report Date
- April 12, 2021
- Manufacturer
- GRAHAM MEDICAL TECHNOLOGIES LLC, DBA GRAMEDICA
- Product Code
- HWC
- PMA / PMN Number
- K042030
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
A MULTICENTER POST MARKET CLINICAL FOLLOW-UP RETROSPECTIVE STUDY IS BEING PERFORMED AT SPECIFIC TIME POINTS POST-IMPLANTATION TO EVALUATE THE SAFETY AND PERFORMANCE OF THE HYPROCURE IMPLANT. THE PMCF STUDIES WERE NOT REQUESTED BY FDA. THE MANUFACTURER WAS NOT MADE AWARE OF THESE ISSUES PRIOR TO THE REPORT STUDY AND NO COMPLAINTS HAVE BEEN MADE. THE DEVICE INSTRUCTIONS FOR USE INCLUDES PAIN AND DISCOMFORT AS POTENTIAL ADVERSE EFFECTS. ALL RISKS HAVE BEEN REDUCED AS LOW AS POSSIBLE.
Description of Event or Problem · 1
THE PATIENT IS EXPERIENCING "PAIN, STIFFNESS, GENERAL DISCOMFORT, WEAK ANKLE AND FALLING".
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 747065 | HYPROCURE | SUBTALAR IMPLANT | HWC | GRAHAM MEDICAL TECHNOLOGIES LLC, DBA GRAMEDICA | HYP-05 | 050712211 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 29 YR | Other |