FDA Adverse Event Other Summary report: N

WRIST ARTHRODESIS NAIL SYSTEM

MDR report key: 2591880 · Received May 18, 2012

Report

Report Number
3006742481-2012-00003
Event Type
Other
Date Received
May 18, 2012
Date of Event
April 19, 2012
Report Date
May 18, 2012
Manufacturer
SKELETAL DYNAMICS, LLC.
Product Code
HSB
PMA / PMN Number
K092720
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CURRENT INFO IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. REVIEW OF MFG RECORDS DEMONSTRATES THAT ALL MATERIALS MET RELEASE CRITERIA.

Description of Event or Problem · 1

METACARPAL NAIL WAS EXPLANTED DUE TO INFECTION. FOREIGN FLUID REPORTED TO HAVE BEEN USED WITH BONE GRAFT. NO INDICATION OF PRODUCT MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 WRIST ARTHRODESIS NAIL SYSTEM NONE HSB SKELETAL DYNAMICS, LLC. METACARPAL NAIL AZ0311001

Patients

Seq Age Sex Outcome Treatment
1 Other