FDA Adverse Event Other Summary report: N

MICROTARGETING PLATFORM

MDR report key: 2969661 · Received February 13, 2013

Report

Report Number
3005677147-2013-00001
Event Type
Other
Date Received
February 13, 2013
Date of Event
January 17, 2013
Report Date
January 17, 2013
Manufacturer
FHC, INC.
Product Code
HAW
PMA / PMN Number
K092192
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE 4 LEGGED UNILATERAL PLATFORM IS A PART OF A PROJECT (PJ348) WHICH HAS NOT BEEN DESIGN TRANSFERRED. THE 4 LEGGED UNILATERAL PLATFORM HOWEVER IS COMPLETE AND READY TO BE DESIGN TRANSFERRED ONCE PROJECT REVIEW IS COMPLETE. IMPROVEMENTS FOR CLARITY HAVE BEEN MADE TO THE PROCESS DOCUMENTATION TO ENHANCE THE UNDERSTANDING OF THE PRODUCT DEVELOPMENT CYCLE AND DESIGN CONTROL PROCESS TO AVOID THIS TYPE OF AN ISSUE MOVING FORWARD.

Description of Event or Problem · 1

DURING IN-HOUSE DOCUMENTATION REVIEW OF THE PLATFORM INSPECTION PAPERWORK, PROCESSING AND SHIPPING 4-LEGGED PLATFORMS WITH IMPROPER LABELLING AND AUTHORIZATION TO PROCEED WAS IDENTIFIED. AFTER REVIEW IT WAS FOUND THAT A TOTAL OF EIGHT (8) 4 LEGGED UNILATERAL PLATFORMS WERE SENT OUT TO CUSTOMERS. DOCUMENTED MFG AND INSPECTION PROCEDURES WERE FOLLOWED FOR ALL THE PLATFORMS SHIPPED. ALL THE SURGERIES USING THE 4 LEGGED UNILATERAL PLATFORMS WERE PERFORMED AND COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
63844 MICROTARGETING PLATFORM PLATFORM HAW FHC, INC.

Patients

Seq Age Sex Outcome Treatment
1 UNK