FDA Adverse Event Injury Summary report: N

UNKNOWN_OSTEOSYNTHESIS_PRODUCT

MDR report key: 3230726 · Received July 17, 2013

Report

Report Number
0008031020-2013-00234
Event Type
Injury
Date Received
July 17, 2013
Date of Event
June 25, 2013
Report Date
June 25, 2013
Manufacturer
STRYKER OSTEOSYNTHESIS-SELZACH
Product Code
HTY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DEVICE WILL NOT BE RETURNED. IF ADDITIONAL INFORMATION IS RECEIVED IT WILL BE REPORTED ON A SUPPLEMENTAL REPORT. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THERE WAS A (B)(6) THAT HAD AN ANKLE FUSION SIX MONTHS AGO WITH 6.5 ASNUS SCREWS AND DEVELOPED A NON UNION. SURGEON TOOK OUT 3 6.5 ASNUS SCREWS AND PUT ON EXTERNAL FIXATOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
331581 UNKNOWN_OSTEOSYNTHESIS_PRODUCT IMPLANT HTY STRYKER OSTEOSYNTHESIS-SELZACH

Patients

Seq Age Sex Outcome Treatment
1 21 YR Required Intervention