FDA Adverse Event
Injury
Summary report: N
UNKNOWN UNIFLEX TIBIAL NAIL
MDR report key: 3963509
·
Received July 29, 2014
Report
- Report Number
- 0001825034-2014-06492
- Event Type
- Injury
- Date Received
- July 29, 2014
- Report Date
- July 2, 2014
- Manufacturer
- BIOMET ORTHOPEDICS
- Product Code
- HSB
- PMA / PMN Number
- PUNKNOWN
- Removal / Correction Number
- N/A
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE PRODUCT IDENTIFICATION NECESSARY TO REVIEW MANUFACTURING HISTORY WAS NOT PROVIDED. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. THE FOLLOWING SECTIONS COULD NOT BE COMPLETED WITH THE LIMITED INFORMATION PROVIDED. DATE OF EVENT - UNKNOWN. BRAND NAME - UNKNOWN. EXPIRATION DATE - UNKNOWN. DATE IMPLANTED - UNKNOWN. DATE EXPLANTED - UNKNOWN. INITIAL REPORTER ¿ UNKNOWN. 510K NUMBER - UNKNOWN. MANUFACTURE DATE ¿ UNKNOWN.
Description of Event or Problem · 1
IT WAS REPORTED THAT PATIENT UNDERWENT A PROCEDURE WHERE AN AFFIXUS NAIL WAS IMPLANTED ON AN UNKNOWN DATE. THERE HAS BEEN NO REPORTED REVISION PROCEDURE TO DATE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 442030 | UNKNOWN UNIFLEX TIBIAL NAIL | ROD, FIXATION | HSB | BIOMET ORTHOPEDICS | N/A | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization |