FDA Adverse Event
Injury
Summary report: N
EBI XFIX DYNAFIX
MDR report key: 254568
·
Received December 15, 1999
Report
- Report Number
- 2242816-1999-00065
- Event Type
- Injury
- Date Received
- December 15, 1999
- Date of Event
- November 1, 1999
- Report Date
- December 14, 1999
- Manufacturer
- EBI MEDICAL SYSTEMS, INC.
- Product Code
- HTY
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UT, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
THE FIXATOR WAS APPLIED TO TREAT A DISTAL RADIUS FRACTURE ON 11/1/99. AT THE FIRST FOLLOW-UP VISIT, IT WAS NOTED THE FIXATOR WAS LOOSE. A SECOND SURGERY WAS PERFORMED TO REALIGN THE FRACTURE AND REAPPLY THE FIXATOR. AT THE NEXT FOLLOW-UP VISIT, IT WAS NOTED THE FIXATOR WAS LOOSE. A THIRD SURGERY WAS PERFORMED TO REALIGN THE FRACTURE AND REPLACE THE FIXATOR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | EBI XFIX DYNAFIX Implant | EXTERNAL FIXATION | HTY | EBI MEDICAL SYSTEMS, INC. | 04003 | 127231 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |