FDA Adverse Event Other Summary report: N

WRIST ARTHRODESIS NAIL SYSTEM

MDR report key: 2712939 · Received August 17, 2012

Report

Report Number
3006742481-2012-00005
Event Type
Other
Date Received
August 17, 2012
Date of Event
July 19, 2012
Report Date
August 17, 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. PHYSICIAN INDICATED DEVICE FUNCTIONED AS EXPECTED. REVIEW OF THE MANUFACTURING RECORDS DEMONSTRATES THAT ALL MATERIALS MET RELEASE CRITERIA.

Description of Event or Problem · 1

UNICORTICAL SCREW WAS EXPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 WRIST ARTHRODESIS NAIL SYSTEM NONE HSB SKELETAL DYNAMICS LLC UNICORTICAL SCREW AZ0810011

Patients

Seq Age Sex Outcome Treatment
1 Other