FDA Adverse Event Other Summary report: N

IMPLATE WRIST ARTHRODESIS SYSTEM

MDR report key: 3349725 · Received September 4, 2013

Report

Report Number
3006742481-2013-00006
Event Type
Other
Date Received
September 4, 2013
Date of Event
August 7, 2013
Report Date
September 3, 2013
Manufacturer
SKELETAL DYNAMICS LLC
Product Code
KWI
PMA / PMN Number
K092720
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CURRENT INFO IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF EVENT, THOUGH AN INFECTION WAS REPORTED. REVIEW OF MFG RECORDS DEMONSTRATES THAT ALL MATERIALS MET RELEASE CRITERIA.

Description of Event or Problem · 1

IT WAS REPORTED THAT A WRIST ARTHRODESIS CONSTRUCT WAS REMOVED BECAUSE OF AN INFECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
437637 IMPLATE WRIST ARTHRODESIS SYSTEM NONE KWI SKELETAL DYNAMICS LLC AZ0411001, AZ0910001

Patients

Seq Age Sex Outcome Treatment
1 Other