FDA Adverse Event
Injury
Summary report: N
APEX
MDR report key: 11923440
·
Received June 2, 2021
Report
- Report Number
- 3007289093-2021-00006
- Event Type
- Injury
- Date Received
- June 2, 2021
- Date of Event
- March 25, 2021
- Report Date
- June 2, 2021
- Manufacturer
- EXTREMITY MEDICAL, LLC.
- Product Code
- HWC
- PMA / PMN Number
- K130120
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT AN APEX CONSTRUCT WAS REMOVED DUE TO A NON-UNION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 814903 | APEX | BONE SCREW | HWC | EXTREMITY MEDICAL, LLC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |