FDA Adverse Event Injury Summary report: N

NEUFLEX MCP IMPLANT SZ 30

MDR report key: 1984448 · Received January 27, 2011

Report

Report Number
1818910-2011-01112
Event Type
Injury
Date Received
January 27, 2011
Date of Event
December 28, 2010
Report Date
December 28, 2010
Manufacturer
DEPUY ORTHOPAEDICS, INC.
Product Code
KYJ
PMA / PMN Number
K970544
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE BASE MATERIAL OF THE IMPLANT, SILICONE, IS SUSCEPTIBLE TO TEARING, AFTER A CUT / TEAR /RIP HAS BEEN INTRODUCED; HOWEVER, THE BASE SILICONE MATERIAL, USED IN THE MANUFACTURE OF THE NEUFLEX FINGER IMPLANT REMAINS AN INDUSTRY LEADER. REVIEW OF THE DEVICE HISTORY RECORDS FOUND NO MANUFACTURING DEVIATIONS OR REJECTIONS. A SEARCH OF THE COMPLAINT DATABASE FOUND NO PRIOR REPORTS FOR THIS PART AND LOT NUMBER COMBINATION. THE INVESTIGATION COULD NOT VERIFY OR IDENTIFY ANY PRODUCT CONTRIBUTION TO THE REPORTED EVENT WITH THE INFORMATION PROVIDED. BASED ON THE INVESTIGATION, THE NEED FOR CORRECTIVE ACTION IS NOT INDICATED. DEPUY CONSIDERS THE INVESTIGATION CLOSED. SHOULD ANY ADDITIONAL INFORMATION BE RECEIVED TO CHANGE THE OUTCOME OF THE PERFORMED INVESTIGATION, THE COMPLAINT WILL BE RE-OPENED.

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

PATIENT REVISED FOR FRACTURED IMPLANT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEUFLEX MCP IMPLANT SZ 30 87 KYJ KYJ DEPUY ORTHOPAEDICS, INC. NA CX8H51

Patients

Seq Age Sex Outcome Treatment
1 71 YR Required Intervention