FDA Adverse Event
Malfunction
Summary report: N
TOGGLELOC FIXATION DEVICE WITH DOUBLE ZIPLOOP TECHNOLOGY
MDR report key: 2132682
·
Received June 13, 2011
Report
- Report Number
- MW5021000
- Event Type
- Malfunction
- Date Received
- June 13, 2011
- Date of Event
- April 26, 2011
- Report Date
- June 13, 2011
- Manufacturer
- BIOMET SPORTS MEDICINE
- Product Code
- MBI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
BIOMET SPORTS MEDICINE INFORMED US THAT THEY REPORTED AN EVENT TO MEDWATCH. THE PT HAD A REVISION PROCEDURE DUE TO SYMPTOMS RETURNING. DISCOVERED TOP BUTTON ON DEVICE WAS LOOSE AND ONLY ONE ZIPLOOP PRESENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TOGGLELOC FIXATION DEVICE WITH DOUBLE ZIPLOOP TECHNOLOGY | NONE | MBI | BIOMET SPORTS MEDICINE | 904835 | 61300 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 32 YR |