FDA Adverse Event Injury Summary report: N

SILASTIC HP100 SWANSON FLEX HINGE TOE SMS

MDR report key: 378233 · Received February 21, 2002

Report

Report Number
1816403-2002-00002
Event Type
Injury
Date Received
February 21, 2002
Report Date
January 21, 2002
Manufacturer
DOW CORNING CORPORATION
Product Code
KWH
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

REPORTER ALLEGES PT HAD IMPLANT SURGERY ON OR ABOUT 1998 TO RELIEVE ARTHRITIC SYMPTOMS AND PAIN. THE TOE BECAME STIFF AFTER SURGERY AND PT UNDERWENT CONSERVATIVE THERAPY WITHOUT ANY RELIEF. PT UNDERWENT EXPLORATORY SURGERY IN 1999 AND THE IMPLANT WAS FRACTURED AND REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SILASTIC HP100 SWANSON FLEX HINGE TOE SMS FLEX HINGE TOE IMP KWH DOW CORNING CORPORATION * HH073155

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention