HUNTER TENDON ROD TR30-0000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,07 report with the FDA on 2013-06-14 for HUNTER TENDON ROD TR30-0000 manufactured by Wright Medical Technology, Inc..

Event Text Entries

[10959517] Conclusion: no failure detected and product within specification. The complaint was reviewed and analysis showed no trend for item/lot. Photographic images were made of returned product. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[16378403] This investigation is not complete. Trends will be evaluated. The event code is addressed in the package insert. This report will be updated when the investigation is complete. This event occurred in (b)(6).
Patient Sequence No: 1, Text Type: N, H10


[16438400] Allegedly post-op consultation on (b)(4) 2013 - no open spots. But on (b)(4) 2013, pt. Developed open wound spots on proximal and distal portions of finger. On (b)(6) 2013 pt had developed low grade sepsis. Dr removed rod.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1043534-2013-01044
MDR Report Key3170391
Report Source01,07
Date Received2013-06-14
Date of Report2013-05-24
Date of Event2013-05-03
Date Facility Aware2013-05-06
Date Mfgr Received2013-07-18
Date Added to Maude2013-06-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location3
Manufacturer Street5677 AIRLINE ROAD
Manufacturer CityARLINGTON TN 38002
Manufacturer CountryUS
Manufacturer Postal38002
Manufacturer Phone901867-414
Manufacturer G1WRIGHT MEDICAL TECHNOLOGY, INC.
Manufacturer Street5677 AIRLINE RD.
Manufacturer CityARLINGTON TN 38002
Manufacturer CountryUS
Manufacturer Postal Code38002
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHUNTER TENDON ROD
Generic NameSMALL JOINT COMPONENT, CODE:HXA
Product CodeHXA
Date Received2013-06-14
Catalog NumberTR30-0000
Lot Number1458122
OperatorOTHER
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerWRIGHT MEDICAL TECHNOLOGY, INC.
Manufacturer Address5677 AIRLINE RD. ARLINGTON TN 38002 US 38002


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2013-06-14

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