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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BRM EXTREMITIES SRL SILKTOE; TOE JOINT POLYMER CONSTRAINED PROSTHESIS

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BRM EXTREMITIES SRL SILKTOE; TOE JOINT POLYMER CONSTRAINED PROSTHESIS Back to Search Results
Catalog Number BRDNEWP3030L
Device Problem Fracture (1260)
Patient Problem Failure of Implant (1924)
Event Date 07/26/2023
Event Type  Injury  
Event Description
It was reported that he stem of a silicone spacer for mtp1 replacement brake off after two months without trauma.
 
Manufacturer Narrative
The device batch was released on 25/07/2022 and consisted of (b)(4) pieces, which were entirely sold.Dhr review revealed no anomalies, the product complies with the company's requirements.No further reports were received on this batch, while only one other case of device fracture was reported during the entire period of marketing of this device (relating to a different batch).Device fracture is a residual risk reported in ifus.It could be due to different factors; we contacted the distributor asking for more information on event and patient and are waiting for an answer.
 
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Brand Name
SILKTOE
Type of Device
TOE JOINT POLYMER CONSTRAINED PROSTHESIS
Manufacturer (Section D)
BRM EXTREMITIES SRL
via lorenzo mascheroni, 29
milano, mi 20145
IT  20145
Manufacturer (Section G)
BRM EXTREMITIES S.R.L.
via papa giovanni xxiii
civate, lc 23862
IT   23862
Manufacturer Contact
lisa fazzini
via papa giovanni xxiii, 9
civate, lc 23862
IT   23862
MDR Report Key17659959
MDR Text Key322362807
Report Number3016669046-2023-00001
Device Sequence Number1
Product Code KWH
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K191966
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Distributor
Reporter Occupation Other
Type of Report Initial
Report Date 08/29/2023
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? Yes
Device Operator Health Professional
Device Catalogue NumberBRDNEWP3030L
Device Lot Number0825/22
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 08/07/2023
Initial Date FDA Received08/31/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured07/05/2022
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) Hospitalization;
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