FDA Adverse Event
Malfunction
Summary report: N
EBI XFIX DYNAFIX
MDR report key: 224412
·
Received May 18, 1999
Report
- Report Number
- 2242816-1999-00024
- Event Type
- Malfunction
- Date Received
- May 18, 1999
- Date of Event
- May 10, 1999
- Report Date
- May 18, 1999
- Manufacturer
- ELECTRO-BIOLOGY, INC.
- Product Code
- HTY
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
WHILE MOVING BACK INTO BED FROM A CHAIR, THE PT HEARD A NOISE AND NOTED ONE OF THE WIRE CARRIAGE BOLTS WAS BROKEN. THE ENTIRE WIRE CARRIAGE WAS REPLACED. THERE WAS NO INJURY TO THE PT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | EBI XFIX DYNAFIX Implant | EXTERNAL FIXATION | HTY | ELECTRO-BIOLOGY, INC. | 13070 | 052877 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Other |