FDA Adverse Event Injury Summary report: N

TRAPEZX TREPEZIUM IMPLANT

MDR report key: 2542595 · Received April 13, 2012

Report

Report Number
3007289093-2012-00002
Event Type
Injury
Date Received
April 13, 2012
Date of Event
January 24, 2011
Report Date
April 13, 2012
Manufacturer
EXTREMITY MEDICAL, LLC.
Product Code
KYI
PMA / PMN Number
K092548
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SURGEON PERFORMED AND REMOVED THE TRAPEZIUM IMPLANT AND A LRTI PROCEDURE WAS COMPLETED. THE IMPLANT WAS RETURNED FOR EVAL. THIS IS THE FIRST REPORTED EVENT WHERE THE SUTURE HAD FAILED POST-OPERATIVELY.

Description of Event or Problem · 1

PT REQUIRED SURGERY TO REMOVE TRAPEZIUM IMPLANT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRAPEZX TREPEZIUM IMPLANT WRIST JOINT CARPAL TREAPEZIUM PROSTHESIS KYI EXTREMITY MEDICAL, LLC. AP4N09A

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention