FDA Adverse Event Other Summary report: N

TORNIER

MDR report key: 2522749 · Received June 25, 2010

Report

Report Number
3004983210-2010-00005
Event Type
Other
Date Received
June 25, 2010
Report Date
June 25, 2010
Manufacturer
TORNIER INC.
Product Code
HRS
PMA / PMN Number
053408
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

IT IS REPORTED THAT BONE FUSION PLATE DEVICES HAD BEEN IMPLANTED IN BOTH FEET, ONE EACH, OF A PATIENT AND BOTH PLATES BROKE WHEN PATIENT WAS PERMITTED TO WALK. BOTH PLATES ARE REPORTED AS EXPLANTED IN REVISION SURGERY. BOTH EXPLANTED DEVICES HAVE BEEN RETURNED TO PERMIT ENGINEERING EVALUATION. CLINICAL DATA HAS BEEN REQUESTED - BUT NOT RECEIVED. DATES OF IMPLANT/EXPLANT SURGERY HAVE BEEN REQUESTED BUT HAVE NOT BEEN REPORTED. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TORNIER PLATE, FIXATION, BONE HRS TORNIER INC. 0207 & 1108

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention