FDA Adverse Event
Injury
Summary report: N
HYPROCURE
MDR report key: 11852033
·
Received May 19, 2021
Report
- Report Number
- 3004993707-2021-00022
- 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
- M621HYP070
- PMA / PMN Number
- K042030
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, 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 PATIENT HAD THE DEVICE REMOVED AND HAS SINCE BEEN HAVING ISSUES READJUSTING HER GAIT DUE TO MISALIGNMENT.
Description of Event or Problem · 1
READJUSTING MY GAIT AFTER REMOVAL, AS I HAD A LIMP AND MISALIGNMENT IN MY LEFT HIP. (THE DEVICE LIMITED MOBILITY IN MY RIGHT FOOT AND ANKLE).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 747401 | HYPROCURE | HYPROCURE SUBTALAR IMPLANT | HWC | GRAHAM MEDICAL TECHNOLOGIES, LLC. DBA GRAMEDICA | HYP-07 | 071229141 | M621HYP070 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 55 YR | Other |