FDA Adverse Event Other Summary report: N

OSTEOMED LDA CANNULATED SCREWS

MDR report key: 865775 · Received June 14, 2007

Report

Report Number
2027754-2007-00007
Event Type
Other
Date Received
June 14, 2007
Date of Event
March 1, 2007
Report Date
June 14, 2007
Manufacturer
OSTEOMED L.P.
Product Code
HWC
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
DPM

Narratives

Additional Manufacturer Narrative · 1

PROD NOT RETURNED - GIVEN TO PT. COULD BE LACK OF MEDULLARY BONE PURCHASE OR EXCESS PT ACTIVITY, ALTHOUGH NO INDICATION PT WAS NON-COMPLIANT. ADD'L MODEL# IS 319-2438.

Description of Event or Problem · 1

PT UNDERWENT FUSION OF TOE USING CANNULATED SCREWS. AT POST-OP VISIT 6 WEEKS LATER, PT COMPLAINED OF PAIN. SCREWS HAD BACKED OUT A FEW MM. BECAUSE FUSION HAD OCCURRED, DR REMOVED SCREWS FROM PT. PAIN WAS RELIEVED. PT DOING FINE. NO INDICATION PT WAS NON-COMPLIANT. POSSIBLE TIP OF SCREW WAS NOT PLACED IN MEDULLARY BONE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OSTEOMED LDA CANNULATED SCREWS CANNULATED SCREWS HWC OSTEOMED L.P. 319-2442 NA

Patients

Seq Age Sex Outcome Treatment
1 50 YR Other