HALL SURGAIRTOME 5058-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-09-07 for HALL SURGAIRTOME 5058-01 manufactured by Linvatec Corporation D/b/a Conmed Linvatec.

Event Text Entries

[119497105] Surgitome required for right first metacarpophalangeal joint (mpj) fusion did not function.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7854712
MDR Report Key7854712
Date Received2018-09-07
Date of Report2018-08-30
Date of Event2018-08-29
Report Date2018-08-30
Date Reported to FDA2018-08-30
Date Reported to Mfgr2018-09-07
Date Added to Maude2018-09-07
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHALL SURGAIRTOME
Generic NameMOTOR, SURGICAL INSTRUMENT, PNEUMATIC POWERED
Product CodeGET
Date Received2018-09-07
Model Number5058-01
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerLINVATEC CORPORATION D/B/A CONMED LINVATEC
Manufacturer Address11311 CONCEPT BOULEVARD LARGO FL 33773 US 33773


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-09-07

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