FDA Adverse Event Malfunction Summary report: N

BABY GORILLA/GORILLA PLATING SYSTEM

MDR report key: 14240071 · Received April 28, 2022

Report

Report Number
3008650117-2022-00046
Event Type
Malfunction
Date Received
April 28, 2022
Date of Event
March 31, 2022
Report Date
April 28, 2022
Manufacturer
PARAGON 28, INC
Product Code
HWN
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

THE CASPAR INSTRUMENT WOULD NOT ARTICULATE/OPEN FULLY DURING A SURGERY. A SECOND CASPAR INSTRUMENT AVAILABLE IN THE OPERATING ROOM WAS UTILIZED TO COMPLETE THE PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
103564 BABY GORILLA/GORILLA PLATING SYSTEM CASPAR TYPE COMPRESSION/DISTRACTION DEVICE HWN PARAGON 28, INC P99-150-0011 PB5173

Patients

Seq Age Sex Outcome Treatment
1 Unknown