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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: WRIGHT MEDICAL TECHNOLOGY INC UNKNOWN BIOFOAM WEDGE; PLATE, FIXATION, BONE

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WRIGHT MEDICAL TECHNOLOGY INC UNKNOWN BIOFOAM WEDGE; PLATE, FIXATION, BONE Back to Search Results
Catalog Number UNK_WWA
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problem Implant Pain (4561)
Event Date 04/28/2023
Event Type  Injury  
Event Description
A review of study report of retrospective data collection intended to collect safety and performance on subjects that have been previously implanted with the ¿biofoam wedge system' revealed that, ¿one patient had persistent pain at the sinus tarsi, solved with arthroereisis removal after 1 year¿.
 
Manufacturer Narrative
The reported event that patient required removal of device due to persistent pain at the sinus tarsi, could not be confirmed, since the device(s) were not returned for evaluation and no other additional information was received from the clinical site.More detailed information about the patient's medical history, the event details and the involved device(s) must be available to determine the root cause.   if any additional information becomes available, the investigation will be reopened and re-evaluated accordingly.
 
Event Description
A review of study report of retrospective data collection intended to collect safety and performance on subjects that have been previously implanted with the ¿biofoam wedge system' revealed that, ¿one patient had persistent pain at the sinus tarsi, solved with arthroreisis removal after 1 year¿.
 
Manufacturer Narrative
This complaint has been generated based on findings discovered during the post-market surveillance literature review.The alleged event of a ¿pain treated with additional surgery¿ could not be confirmed, since no additional information was received from the author or the article.More detailed information about the patient medical history, the event circumstances, and medical reports must be available to determine the root cause.If any additional information becomes available, the investigation will be reopened and re-evaluated accordingly.
 
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Brand Name
UNKNOWN BIOFOAM WEDGE
Type of Device
PLATE, FIXATION, BONE
Manufacturer (Section D)
WRIGHT MEDICAL TECHNOLOGY INC
1023 cherry rd
memphis TN 38117
Manufacturer (Section G)
WRIGHT MEDICAL TECHNOLOGY INC
1023 cherry rd
memphis TN 38117
Manufacturer Contact
anna jusinski
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key16957455
MDR Text Key315528337
Report Number3010667733-2023-00261
Device Sequence Number1
Product Code HRS
Combination Product (y/n)N
Reporter Country CodeIT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Study
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 06/21/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/18/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Catalogue NumberUNK_WWA
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received05/25/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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