FDA Adverse Event Injury Summary report: N

NEUFLEX PIP IMPLANT SZ 2

MDR report key: 1618441 · Received February 26, 2010

Report

Report Number
1818910-2010-00641
Event Type
Injury
Date Received
February 26, 2010
Date of Event
January 27, 2010
Report Date
January 27, 2010
Manufacturer
DEPUY ORTHOPAEDICS, INC.
Product Code
KYJ
PMA / PMN Number
K001922
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS COMPLAINT IS STILL UNDER INVESTIGATION. DEPUY WILL NOTIFY THE FDA OF THE RESULTS OF THIS INVESTIGATION ONCE IT HAS BEEN COMPLETED.

Description of Event or Problem · 1

PT COMPLAINED OF FINGER JOINT PAIN. DURING REVISION SURGERY, SURGEON DISCOVERED THAT THE ORIGINAL PIP FINGER JOINT HAD BROKEN IN THE MIDDLE AND SEPARATED INTO TWO STEM ENDS, BOTH STILL IN PLACE WITHIN THE BONES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEUFLEX PIP IMPLANT SZ 2 87KYJ KYJ DEPUY ORTHOPAEDICS, INC. NA AY3F51000

Patients

Seq Age Sex Outcome Treatment
1 75 YR Required Intervention