FDA Adverse Event
Injury
Summary report: N
CLEARFIX MENISCAL SCREW
MDR report key: 204478
·
Received December 31, 1998
Report
- Report Number
- 1222933-1998-00004
- Event Type
- Injury
- Date Received
- December 31, 1998
- Date of Event
- December 1, 1998
- Report Date
- December 30, 1998
- Manufacturer
- INNOVASIVE DEVICES, INC.
- Product Code
- HWC
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
APPROX 2 WEEKS POST OPERATIVELY, THE PT COMPLAINED OF SWELLING AND DISCOMFORT. A RE-OPERATION WAS PERFORMED AND THE DR FOUND THREE MENSICAL SCREWS HAD DISLODGED FROM THE MENISCUS. BECAUSE THE MENISCAL TEAR HAD HEALED SUFFICIENTLY, THE DR REPORTED THAT NO FURTHER REPAIR WAS REQUIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CLEARFIX MENISCAL SCREW Implant | MENISCAL REPAIR IMPLANT | HWC | INNOVASIVE DEVICES, INC. | NA | 12085 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 16 YR | Required Intervention |