FDA Adverse Event Injury Summary report: N

PRO-TOE

MDR report key: 9012294 · Received September 12, 2019

Report

Report Number
1043534-2019-00127
Event Type
Injury
Date Received
September 12, 2019
Date of Event
January 1, 2015
Report Date
August 15, 2019
Manufacturer
WRIGHT MEDICAL TECHNOLOGY, INC.
Product Code
HWC
PMA / PMN Number
K101165
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

LITERATURE CITATION: BASILE ET AL. INTRAMEDULLARY FIXATOIN SYSTEM FOR THE TREATMENT OF HAMMERTOE DEFORMITY. THE JOURNAL OF FOOT & ANKLE SURGERY. 2015; 54: 910-916. NEITHER THE DEVICE NOR APPLICABLE IMAGING FILMS WERE RETURNED TO THE MANUFACTURER FOR EVALUATION, THEREFORE, THE CAUSE OF THE EVENT CANNOT BE DETERMINED.

Description of Event or Problem · 1

ALLEGEDLY, IN AN ARTICLE WRITTEN BY BASILE ET AL. TITLED "INTRAMEDULLARY FIXATION SYSTEM FOR THE TREATMENT OF HAMMERTOE DEFORMITY" IT WAS REPORTED THAT ONE PATIENT HAD AN EARLY FAILURE DUE TO DISLOCATION OF THE FIXATION DEVICE. THE SURGEON OPENED THE WOUND REMOVED THE DEVICE AND USED A K-WIRE FOR FIXATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
809287 PRO-TOE SCREW, FIXATION, BONE HWC WRIGHT MEDICAL TECHNOLOGY, INC. UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention