BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    WRIGHT MEDICAL TECHNOLOGY, INC

    MDR report key: 859304 · Received May 31, 2007

    Report

    Report Number
    MW5002113
    Event Type
    Malfunction
    Date Received
    May 31, 2007
    Date of Event
    April 4, 2007
    Report Date
    May 18, 2007
    Manufacturer
    WRIGHT MEDICAL TECHNOLOGY, INC
    Product Code
    HRS
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DAMAGED PLATE AND SCREWS REMOVED FROM RIGHT GREAT TOE. MEDICAL REP WAS PRESENT. PT IS 2 MTHS POST OP. DAMAGED PLATS AND SCREWS CONSIST OF: RIGHT SLIMLINE PLATE(1), 2.7MM X 16MM SCREW (1), 2.7MM X 18 MM SCREW (2), 2.7MM X 20 MM SCREW (1), 5CC ALLOMATRIX BONE PUTTY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WRIGHT MEDICAL TECHNOLOGY, INC SLIMLINE PLATE AND HARDWARE HRS WRIGHT MEDICAL TECHNOLOGY, INC

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR