FDA Adverse Event Other Summary report: N

IMPLATE WRIST ARTHRODESIS SYSTEM

MDR report key: 3472552 · Received November 12, 2013

Report

Report Number
3006742481-2013-00007
Event Type
Other
Date Received
November 12, 2013
Date of Event
October 9, 2013
Report Date
November 9, 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 INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF EVENT. REVIEW OF MANUFACTURING RECORDS DEMONSTRATES THAT ALL MATERIALS MET RELEASE CRITERIA.

Description of Event or Problem · 1

IT WAS REPORTED THAT A METACARPAL SCREW WAS REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
583107 IMPLATE WRIST ARTHRODESIS SYSTEM NONE KWI SKELETAL DYNAMICS LLC AZ0812004

Patients

Seq Age Sex Outcome Treatment
1 Other