FDA Adverse Event
Injury
Summary report: N
HYPROCURE
MDR report key: 11852030
·
Received May 19, 2021
Report
- Report Number
- 3004993707-2021-00020
- Event Type
- Injury
- Date Received
- May 19, 2021
- Date of Event
- December 19, 2016
- Report Date
- April 12, 2021
- Manufacturer
- GRAHAM MEDICAL TECHNOLOGIES, LLC. DBA GRAMEDICA
- Product Code
- HWC
- UDI-DI
- M621HYP060
- PMA / PMN Number
- K042030
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- 003
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 A WARNING - IT IS VERY IMPORTANT TO SELECT THE CORRECT SIZE OF THE IMPLANT TO ACHIEVE THE BEST POSSIBLE CORRECTION.
Description of Event or Problem · 1
DEVICE MIGRATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 747070 | HYPROCURE | HYPROCURE SUBTALAR IMPLANT | HWC | GRAHAM MEDICAL TECHNOLOGIES, LLC. DBA GRAMEDICA | HYP-06 | 061219132 | M621HYP060 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 10 YR | Other |