FDA Adverse Event Injury Summary report: N

PATIENT SPECIFIC TOTAL TALUS

MDR report key: 20041663 · Received August 22, 2024

Report

Report Number
3008650117-2024-00029
Event Type
Injury
Date Received
August 22, 2024
Report Date
August 22, 2024
Manufacturer
PARAGON 28, INC
Product Code
QNN
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D2B-NOTE, THIS IS A CUSTOM DEVICE THAT IS 510K EXEMPT.

Description of Event or Problem · 0

THE PATIENT HAD A REACTION TO THE CUSTOM TOTAL TALUS. THE TOTAL TALUS WAS EXPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1381199 PATIENT SPECIFIC TOTAL TALUS QNN PARAGON 28, INC

Patients

Seq Age Sex Outcome Treatment
1 NA Female Other