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 |