FDA Adverse Event
Injury
Summary report: N
HUNTER TENDON ROD
MDR report key: 3170391
·
Received June 14, 2013
Report
- Report Number
- 1043534-2013-01044
- Event Type
- Injury
- Date Received
- June 14, 2013
- Date of Event
- May 3, 2013
- Report Date
- May 24, 2013
- Manufacturer
- WRIGHT MEDICAL TECHNOLOGY, INC.
- Product Code
- HXA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SF
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
CONCLUSION: NO FAILURE DETECTED AND PRODUCT WITHIN SPECIFICATION. THE COMPLAINT WAS REVIEWED AND ANALYSIS SHOWED NO TREND FOR ITEM/LOT. PHOTOGRAPHIC IMAGES WERE MADE OF RETURNED PRODUCT. (B)(4).
Additional Manufacturer Narrative · 1
THIS INVESTIGATION IS NOT COMPLETE. TRENDS WILL BE EVALUATED. THE EVENT CODE IS ADDRESSED IN THE PACKAGE INSERT. THIS REPORT WILL BE UPDATED WHEN THE INVESTIGATION IS COMPLETE. THIS EVENT OCCURRED IN (B)(6).
Description of Event or Problem · 1
ALLEGEDLY POST-OP CONSULTATION ON (B)(4) 2013 - NO OPEN SPOTS. BUT ON (B)(4) 2013, PT. DEVELOPED OPEN WOUND SPOTS ON PROXIMAL AND DISTAL PORTIONS OF FINGER. ON (B)(6) 2013 PT HAD DEVELOPED LOW GRADE SEPSIS. DR REMOVED ROD.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 271148 | HUNTER TENDON ROD | SMALL JOINT COMPONENT, CODE:HXA | HXA | WRIGHT MEDICAL TECHNOLOGY, INC. | 1458122 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 24 YR | Required Intervention |