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 |