MAUDE Adverse Event Report: GRAHAM MEDICAL TECHNOLOGIES, LLC. DBA GRAMEDICA HYPROCURE; HYPROCURE SUBTALAR IMPLANT

Model Number	HYP-05
Medical Device Problem Code	Insufficient Device Problem Information (3190)
Health Effect - Clinical Codes	Pain (1994); Discomfort (2330)
Date of Event	10/07/2019
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
A multicenter post market clinical follow-up retrospective study is being performed at specific time points post-implantation to evaluate the safety and performance of the hyprocure implant.The pmcf studies were not requested by fda.The manufacturer was not made aware of these issues prior to the report study and no complaints have been made.The device instructions for use includes pain and discomfort as potential adverse effects.
Event or Problem Description
My right foot is very weak.I cannot stand for a long time because my right ankle is painful.Due to the pandemic, i have not been to the dr.Office.Life is chaotic right now being home with three children.I have to focus on my family.

• Brand Name: HYPROCURE
• Common Device Name: HYPROCURE SUBTALAR IMPLANT
• Manufacturer (Section D): GRAHAM MEDICAL TECHNOLOGIES, LLC. DBA GRAMEDICA; 16137 leone drive; macomb MI 48042
• MDR Report Key: 11851999
• Report Number: 3004993707-2021-00004
• Device Sequence Number: 14389376
• Product Code: HWC
• UDI-Device Identifier: M621HYP050
• UDI-Public: M621HYP050
• Combination Product (Y/N): N
• Initial Reporter State: MI
• Initial Reporter Country: US
• PMA/510(K) Number: K042030
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2019
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: study
• Initial Reporter Occupation: Other
• Type of Report: Initial
• Report Date (Section B): 04/12/2021

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
• Operator of Device: Health Professional
• Device Expiration Date: 02/21/2024
• Device Model Number: HYP-05
• Device Catalogue Number: HYP-05
• Device Lot Number: 050928181
• Was Device Available for Evaluation?: No
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 03/31/2021
• Initial Report FDA Received Date: 05/19/2021
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other
• Patient Age: 31 YR