FDA Adverse Event Malfunction Summary report: N

DEVICE FOR NAIL FIXATION

MDR report key: 2852400 · Received November 13, 2012

Report

Report Number
9615741-2012-00091
Event Type
Malfunction
Date Received
November 13, 2012
Date of Event
October 25, 2012
Report Date
November 13, 2012
Manufacturer
NEWDEAL S.A.S
Product Code
HSB
PMA / PMN Number
K091788
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE PANTA COMPRESSION DEVICE. PRODUCT NUMBER 519130 WAS USED DURING THIS SURGERY. TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVAL. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFO.

Description of Event or Problem · 1

THE SURGEON HAD ¿AN ISSUE WHEN HE INSERTED THE TIBIAL COMPRESSION RODS. THE ROD WAS NOT IN THE HOLE AS EXPECTED.¿ THERE WAS NO PATIENT INJURY. THERE WAS AN INCREASE OF SURGERY TIME OF 30 MINUTES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DEVICE FOR NAIL FIXATION PANTA NAIL HSB NEWDEAL S.A.S

Patients

Seq Age Sex Outcome Treatment
1