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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC.; PIN, FIXATION, SMOOTH

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ARTHREX, INC.; PIN, FIXATION, SMOOTH Back to Search Results
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Failure of Implant (1924); Laceration(s) (1946)
Event Date 11/11/2021
Event Type  Injury  
Manufacturer Narrative
The contribution of the device to the reported event could not be determined as the device was not returned for evaluation.The root cause of the event could not be determined from the information available and without device evaluation.If the device becomes available for evaluation, a follow-up report will be submitted.
 
Event Description
It was reported via a medwatch report that on 11/11/2021, a patient presented with a distal fibula fracture and associated syndesmosis disruption.Patient was initially treated with an arthrex fibula nail aka fibulock and tightrope xp.The nail was broken within 12 days.To remove the nail, large amounts of bone had to be removed and a large incision followed by implanting a plate as a replacement treatment.No further information provided.
 
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Brand Name
UNK
Type of Device
PIN, FIXATION, SMOOTH
Manufacturer (Section D)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer (Section G)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer Contact
vik bajnath
8009337001
MDR Report Key13087942
MDR Text Key282784960
Report Number1220246-2021-04203
Device Sequence Number1
Product Code HTY
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K110123
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,User Facility
Reporter Occupation Administrator/Supervisor
Type of Report Initial
Report Date 12/27/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 12/09/2021
Initial Date FDA Received12/27/2021
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other;
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