FDA Adverse Event
Injury
Summary report: N
IO FIX 2.0
MDR report key: 14027773
·
Received April 6, 2022
Report
- Report Number
- 3007289093-2022-00005
- Event Type
- Injury
- Date Received
- April 6, 2022
- Report Date
- November 30, 2021
- Manufacturer
- EXTREMITY MEDICAL, LLC.
- Product Code
- HWC
- PMA / PMN Number
- K201556
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IT
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
DEVICE REMOVAL DUE TO NON-UNION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1064752 | IO FIX 2.0 | BONE SCREW | HWC | EXTREMITY MEDICAL, LLC. | 209717 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Female | Required Intervention |