| Brand Name | 1ST MTP 0 DEGREE DORSIFLEXED,LT, 7-HOLE |
| Common Device Name | 1ST MTP 0 DEGREE DORSIFLEXED,LT, 7-HOLE |
| Manufacturer (Section D) |
| TRIMED, INC. |
| 27533 avenue hopkins |
| valencia CA 91355 |
|
| Manufacturer (Section G) |
| TRIMED, INC. |
| 27533 avenue hopkins |
|
| valencia CA 91355 |
|
| Manufacturer Contact |
|
megan
rissler
|
| 27533 avenue hopkins |
| valencia, CA 91355
|
|
| MDR Report Key | 22079964 |
| Report Number | 2031009-2025-00011 |
| Device Sequence Number | 12937250 |
| Product Code |
HRS
|
| UDI-Device Identifier | 00842188120022 |
| UDI-Public | 00842188120022 |
| Combination Product (Y/N) | N |
| Initial Reporter State | MO |
| Initial Reporter Country | US |
| PMA/510(K) Number | K192696 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2024 |
| Device Explanted Year | 2025 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
05/23/2025 |
| 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 Model Number | MTPL-7 |
| Was Device Available for Evaluation? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 05/23/2025 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Required Intervention;
|
| Patient Sex | Unknown |
|
|