FDA Adverse Event Malfunction Summary report: N

PANTA IMPLANT SET

MDR report key: 1950309 · Received December 14, 2010

Report

Report Number
9615741-2010-00066
Event Type
Malfunction
Date Received
December 14, 2010
Date of Event
November 26, 2010
Report Date
December 14, 2010
Manufacturer
NEWDEAL S.A.S.
Product Code
JDS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVAL. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFO.

Description of Event or Problem · 1

THE REPORTER STATED THAT DURING A SURGICAL PROCEDURE TO INSERT A PANTA NAIL FOR TIBIO-TALO-CALCANEAL ARTHRODESIS, THE TIBIAL SCREWS THAT WERE INSERTED THROUGH THE PANTA JIG WERE NOT ALIGNED CORRECTLY WITH THE HOLES IN THE PANTA INTERMEDULLARY NAIL. THE SURGEON THEN PLACED THE SCREWS CORRECTLY UNDER X-RAY GUIDANCE. INTEGRA HAS REQUESTED ADD'L CLINICAL INFO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PANTA IMPLANT SET NA JDS NEWDEAL S.A.S.

Patients

Seq Age Sex Outcome Treatment
1 NOT APPLICABLE.