ORTHOSORB ABSORBABLE UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00 report with the FDA on 1996-12-10 for ORTHOSORB ABSORBABLE UNK manufactured by Johnson & Johnson Professional, Inc..

Event Text Entries

[18331633] Co received medwatch report no. 1010284 from the food & drug admin concerning an absorbable pin. According to the report "device was used to stabilize a bone. Pt was suffering from continuous swelling. X-rays were taken and it revealed extreme resorption of metatarsal head secondary to the user of the device".
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1219655-1996-00045
MDR Report Key54261
Report Source00
Date Received1996-12-10
Date of Report1996-12-10
Date of Event1996-09-11
Date Reported to FDA1996-11-18
Date Mfgr Received1996-12-03
Date Added to Maude1996-12-11
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 FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameORTHOSORB ABSORBABLE
Generic NameABSORBABLE PIN
Product CodeMBJ
Date Received1996-12-10
Model NumberNA
Catalog NumberUNK
Lot NumberUNK
ID NumberNA
OperatorUNKNOWN
Device AvailabilityN
Device AgeUNKNOWN
Device Eval'ed by MfgrR
Implant FlagY
Date RemovedA
Device Sequence No1
Device Event Key50900
ManufacturerJOHNSON & JOHNSON PROFESSIONAL, INC.
Manufacturer Address325 PARAMOUNT DRIVE RAYNHAM MA 02767 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1996-12-10

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