FDA Adverse Event Injury Summary report: N

SALTO TALARIS PROSTHESIS

MDR report key: 6140575 · Received December 2, 2016

Report

Report Number
3000931034-2016-00210
Event Type
Injury
Date Received
December 2, 2016
Report Date
November 15, 2016
Manufacturer
TORNIER S.A.S.
Product Code
HSN
PMA / PMN Number
K130533
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT HAD A FAILURE OF BONE INGROWTH INTO THE COMPONENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
791346 SALTO TALARIS PROSTHESIS ANKLE PROSTHESIS HSN TORNIER S.A.S. NOT REPORTED

Patients

Seq Age Sex Outcome Treatment
1 Other