FDA Adverse Event
Injury
Summary report: N
HINTERMANN SERIES H3
MDR report key: 23090009
·
Received September 18, 2025
Report
- Report Number
- 3012104767-2025-00003
- Event Type
- Injury
- Date Received
- September 18, 2025
- Date of Event
- April 28, 2025
- Report Date
- September 18, 2025
- Manufacturer
- DT MEDTECH, LLC
- Product Code
- NTG
- PMA / PMN Number
- P160036
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PATIENT INITIALLY IMPLANTED ON (B)(6) 2023. PATIENT DIAGNOSED WITH SUBLUXATION OF SUBTALAR JOINT AND TALAR COMPONENT OF THE IMPLANT REQUIRED REVISION SURGERY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2840559 | HINTERMANN SERIES H3 | TOTAL ANKLE REPLACEMENT | NTG | DT MEDTECH, LLC | 301112 | AABJY |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |