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