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