FDA Adverse Event Other Summary report: N

STAYFUSE FUSION SYSTEM

MDR report key: 778862 · Received November 6, 2006

Report

Report Number
2030833-2006-00010
Event Type
Other
Date Received
November 6, 2006
Date of Event
August 29, 2006
Report Date
November 6, 2006
Manufacturer
NEXA ORTHOPEDICS, INC.
Product Code
LZJ
PMA / PMN Number
k022726
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

PT COMPLAINED OF CLAWING IN 1ST & 2ND DIGITS OF FOOT. SURGEON ELECTED TO REMOVE IMPLANTS FROM 1ST AND 2ND DIGITS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STAYFUSE FUSION SYSTEM INTERPHALANGEAL FUSION DEVICE LZJ NEXA ORTHOPEDICS, INC. STA-D7 UNK

Patients

Seq Age Sex Outcome Treatment
1 61 YR Other