FDA Adverse Event
Malfunction
Summary report: N
EBI XFIX DYNAFIX
MDR report key: 225365
·
Received May 25, 1999
Report
- Report Number
- 2242816-1999-00035
- Event Type
- Malfunction
- Date Received
- May 25, 1999
- Report Date
- May 19, 1999
- Manufacturer
- ELECTRO-BIOLOGY, INC.
- Product Code
- HTY
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
APPROXIMATELY 3 WEEKS AFTER THE RING SYSTEM WAS APPLIED IT WAS NOTED ONE OF THE WIRE CARRIAGE BOLTS WAS BROKEN. THE BOLT WAS REPLACED IN THE MD'S OFFICE WITHOUT INCIDENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | EBI XFIX DYNAFIX Implant | EXTERNAL FIXATION | HTY | ELECTRO-BIOLOGY, INC. | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |