MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 08 report with the FDA on 2011-11-29 for PIP SZ. 40 PROXIMAL PIP-200-40P-WW manufactured by Ascension Orthopedics.
[2539736]
The reporter stated a revision surgery was performed. The surgeon had to replace the index and middle finger with a larger size implant. The joint was loose. All other implants are fine. The surgeon was satisfied with the post operative x-ray.
Patient Sequence No: 1, Text Type: D, B5
[9711280]
The device involved in the reported incident is not expected to be received for eval. An investigation has been initiated based upon the reported info.
Patient Sequence No: 1, Text Type: N, H10
Report Number | 1651501-2011-00093 |
MDR Report Key | 2453666 |
Report Source | 08 |
Date Received | 2011-11-29 |
Date of Report | 2011-11-29 |
Date of Event | 2011-01-04 |
Date Mfgr Received | 2011-11-09 |
Date Added to Maude | 2012-02-17 |
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 | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Manufacturer Contact | MARIA D'AGOSTINO |
Manufacturer Street | 315 ENTERPRISE DR. |
Manufacturer City | PLAINSBORO NJ 08536 |
Manufacturer Country | US |
Manufacturer Postal | 08536 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | PIP SZ. 40 PROXIMAL |
Generic Name | PIP |
Product Code | KWF |
Date Received | 2011-11-29 |
Catalog Number | PIP-200-40P-WW |
Lot Number | 11-1903 REVISED PRODUCT |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | ASCENSION ORTHOPEDICS |
Manufacturer Address | AUSTIN TX 78754 US 78754 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2011-11-29 |