FDA Adverse Event Other Summary report: N

ASCENSION MCP

MDR report key: 1321299 · Received February 6, 2009

Report

Report Number
1651501-2009-00007
Event Type
Other
Date Received
February 6, 2009
Date of Event
February 29, 2008
Report Date
February 5, 2009
Manufacturer
ASCENSION ORTHOPEDICS, INC.
Product Code
MPK
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IMPLANT WAS PLACED IN 2008. AT APPROX 1 MONTH POST-OP, PATIENT SUSTAINED "SIGNIFICANT TRAUMA TO THE RIGHT HAND". SUBSEQUENT RADIOGRAPHS NOTED A FRACTURE IN THE DISTAL COMPONENT. IMPLANT WAS REVISED A MONTH LATER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ASCENSION MCP TOTAL FINGER JOINT IMPLANT MPK ASCENSION ORTHOPEDICS, INC. MCP-100 (DISTAL) UNK

Patients

Seq Age Sex Outcome Treatment
1 51 YR Other