FDA Adverse Event Malfunction Summary report: N

INTRAMEDULLARY SKELETAL KINETIC DISTRACTOR

MDR report key: 2935724 · Received January 3, 2013

Report

Report Number
3008524126-2012-00033
Event Type
Malfunction
Date Received
January 3, 2013
Date of Event
August 1, 2012
Report Date
January 2, 2013
Manufacturer
ORTHOFIX INC.
Product Code
HSB
PMA / PMN Number
K010322
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

INFORMATION PROVIDED STATES THAT THE LENGTHENER WAS IMPLANTED IN (B)(6) 2012 AND STOPPED DISTRACTING. AN EXTERNAL FIXATOR WAS APPLIED OVER THE LENGTHENER AND THE PROXIMAL LOCKING SCREWS WERE REMOVED. THE LENGHTENER REMAINS IMPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
3977 INTRAMEDULLARY SKELETAL KINETIC DISTRACTOR ISKD LIMB LENGTHENER HSB ORTHOFIX INC. UNK

Patients

Seq Age Sex Outcome Treatment
1 44 YR Other