FDA Adverse Event Injury Summary report: N

CALLOS

MDR report key: 1934134 · Received December 21, 2010

Report

Report Number
3025141-2010-00079
Event Type
Injury
Date Received
December 21, 2010
Report Date
November 10, 2010
Manufacturer
SKELETAL KINETICS LLC
Product Code
MQV
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
NC, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE PHYSICIAN REPORTED WOUND DEHISCENCE IN CALCANEUS FRACTURE REPAIR WHERE CALLOS WAS USED AS BONE VOID FILLER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CALLOS FILLER, BONE VOID, CALCIUM COMPOUND MQV SKELETAL KINETICS LLC

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention