BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ANGLED SMART TOE IMPLANT

    MDR report key: 1680343 · Received May 6, 2010

    Report

    Report Number
    MW5015863
    Event Type
    Injury
    Date Received
    May 6, 2010
    Date of Event
    March 5, 2010
    Report Date
    April 30, 2010
    Manufacturer
    MEMOMETAL INC
    Product Code
    KWD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    UT, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    FRACTURE OF IMPLANTS, PROXIMAL PORTION IN BOTH THE 3RD & 4TH TOES OF THE RIGHT FOOT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGLED SMART TOE IMPLANT NONE KWD MEMOMETAL INC 0006017-P52

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Disability NOTE: 2ND IMPLANT FAILED #: (B) (4)