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 |