PARAGON GM08001-354-00

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-27 for PARAGON GM08001-354-00 manufactured by Global Orthopedic Technology (corin).

Event Text Entries

[186274366] Tha with the paragon hip was performed on (b)(6) 2020. The calcar mill was used to perform this surgery. There was a size 8 broach in situ so the smaller mill was used. During the milling process, the surgeon fractured the femur and used a cable to prevent the fracture from propagating.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1226188-2020-01507
MDR Report Key9889155
Date Received2020-03-27
Date of Report2020-03-27
Date of Event2020-02-04
Report Date2020-02-28
Date Reported to Mfgr2020-02-28
Date Added to Maude2020-03-27
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePARAGON
Generic NamePROSTHESIS, HIP, SEMI-CONSTRAINED
Product CodeLZO
Date Received2020-03-27
Catalog NumberGM08001-354-00
Lot NumberJ15-225
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerGLOBAL ORTHOPEDIC TECHNOLOGY (CORIN)
Manufacturer Address17 BRIDGE STREET PYMBLE, AS NSW 2073 AS NSW 2073


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention 2020-03-27

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