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 |