PRIMUS FUTURA GREAT TOW IMPLANT UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 03 report with the FDA on 2013-03-12 for PRIMUS FUTURA GREAT TOW IMPLANT UNK manufactured by Tornier In..

Event Text Entries

[17565492] Metatarsalgia was the most common complication. One foot required weil osteotomy of the second metatarsal.
Patient Sequence No: 1, Text Type: D, B5


[17671158] (b)(4): lawrence, b. R. , thuen, e. A retrospective review od the primus first mtp joint double-stemmed silicone implant, 2012, journal article page 3. This is the initial report submitted regarding medical device reporting and is based on information submitted by others that may or may not be factually correct.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3004983210-2013-00002
MDR Report Key3003877
Report Source03
Date Received2013-03-12
Date of Report2013-02-12
Date Mfgr Received2013-02-12
Date Added to Maude2013-03-15
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactKEVIN SMITH
Manufacturer Street10801 NESBITT AVE S
Manufacturer CityBLOOMINGTON MN 55437
Manufacturer CountryUS
Manufacturer Postal55437
Manufacturer Phone9524267643
Manufacturer G1TORNIER, INC.
Manufacturer Street10801 NESBITT AVE S
Manufacturer CityBLOOMINGTON MN 55437
Manufacturer CountryUS
Manufacturer Postal Code55437
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePRIMUS FUTURA GREAT TOW IMPLANT UNK
Generic NameNONE
Product CodeKWH
Date Received2013-03-12
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerTORNIER IN.
Manufacturer AddressEDINA MN US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2013-03-12

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