MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 1997-12-18 for ORTHOSORB ABSORBABLE PIN 84-1052 manufactured by Johnson & Johnson Professionals, Inc..
[7780207]
Jjpi has made numerous attempts to the physician to provide more info concerning the incident. However, no response has been made. At this time no conclusion can be made. Jjpi considers this file closed.
Patient Sequence No: 1, Text Type: N, H10
[15443652]
Jjpi was notified that a pt experienced swelling and inflammation following a hammertoe correction procedure which utilized an orthosorb absorbable pin. Re-operation was required to correct the pt's condition approximately 3 months following implantation of the pin.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1219655-1997-00193 |
| MDR Report Key | 138733 |
| Report Source | 05 |
| Date Received | 1997-12-18 |
| Date of Report | 1997-12-18 |
| Date of Event | 1997-11-21 |
| Date Mfgr Received | 1997-11-21 |
| Date Added to Maude | 1997-12-22 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 0 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ORTHOSORB ABSORBABLE PIN |
| Generic Name | ABSORBABLE PIN |
| Product Code | MBJ |
| Date Received | 1997-12-18 |
| Model Number | NA |
| Catalog Number | 84-1052 |
| Lot Number | UNK |
| ID Number | UNK |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | N |
| Implant Flag | Y |
| Date Removed | V |
| Device Sequence No | 1 |
| Device Event Key | 135472 |
| Manufacturer | JOHNSON & JOHNSON PROFESSIONALS, INC. |
| Manufacturer Address | 325 PARAMOUNT DR. RAYNHAM MA 02767 US |
| Baseline Brand Name | ORTHOSORB ABSORBABLE PIN |
| Baseline Generic Name | ABSORBABLE PIN |
| Baseline Model No | NA |
| Baseline Catalog No | 84-1052 |
| Baseline ID | * |
| Baseline Device Family | ORTHOSORB ABSORBABLE PIN |
| Baseline Shelf Life Contained | * |
| Baseline Shelf Life [Months] | 60 |
| Baseline PMA Flag | N |
| Baseline 510K PMN | Y |
| Premarket Notification | K864912 |
| Baseline Preamendment | N |
| Baseline Transitional | N |
| 510k Exempt | N |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 1997-12-18 |