FDA Adverse Event
Injury
Summary report: N
HINTERMANN SERIES H3
MDR report key: 20351870
·
Received October 2, 2024
Report
- Report Number
- 3012104767-2024-00001
- Event Type
- Injury
- Date Received
- October 2, 2024
- Date of Event
- March 27, 2024
- Report Date
- September 4, 2024
- Manufacturer
- DT MEDTECH, LLC
- Product Code
- NTG
- PMA / PMN Number
- P160036
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SC, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
SURGEON NOTICED VIA CT SCAN THAT THE PE INLAY HAD DISLOCATED. PATIENT WAS 2 MONTHS POST-OP WITH A RIGHT ANKLE REPLACEMENT REDACTED OP REPORT IS DOCUMENTED WITH REVISION OF PE INLAY DOS (B)(6) 2024.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 35530 | HINTERMANN SERIES H3 | TOTAL ANKLE REPLACEMENT | NTG | DT MEDTECH, LLC | 300205 | AABII |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Required Intervention |