FDA Adverse Event Injury Summary report: N

SALTO TALARIS TOTAL ANKLE PROSTHESIS

MDR report key: 3940191 · Received June 18, 2014

Report

Report Number
9610667-2014-00011
Event Type
Injury
Date Received
June 18, 2014
Date of Event
August 21, 2011
Report Date
May 21, 2014
Manufacturer
TORNIER SAS
Product Code
HSN
PMA / PMN Number
K060544
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UT, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THIS IS THE INITIAL REPORT SUBMITTED REGARDING THIS SURGICAL EVENT AND MEDICAL DEVICE.

Description of Event or Problem · 1

BONE CYST - REVISION SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
356699 SALTO TALARIS TOTAL ANKLE PROSTHESIS NONE HSN TORNIER SAS

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention