FDA Adverse Event Other Summary report: N

KATALYST RADIAL HEAD SYSTEM

MDR report key: 671568 · Received February 2, 2006

Report

Report Number
2028840-2006-00001
Event Type
Other
Date Received
February 2, 2006
Date of Event
November 1, 2005
Report Date
January 30, 2006
Manufacturer
KINETIKOS MEDICAL, INC.
Product Code
JDC
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IN JAN. 2006, KINETIKOS MEDICAL, INC., WAS INFORMED OF THE EXPLANT OF A KATALYST RADIAL HEAD SYSTEM IMPLANT FROM A FEMALE PT IN 2005 OWING TO SPORADIC PAIN. THE EXPLANTED COMPONENTS WERE RETURNED TO KMI FOR EVALUATION IN JANUARY 2006. NO DEFECTS WERE FOUND.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KATALYST RADIAL HEAD SYSTEM ORTHOPAEDIC ELBOW IMPLANT JDC KINETIKOS MEDICAL, INC. 22-12XX 22-1265/8712

Patients

Seq Age Sex Outcome Treatment
1 NO INFO Other