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