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 |