Brand Name | PRECICE® INTRAMEDULLARY LIMB LENGTHENING ROD |
Type of Device | ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES |
Manufacturer (Section D) |
NUVASIVE SPECIALIZED ORTHOPEDICS, INC. |
101 enterprise, suite 100 |
aliso viejo CA 92656 |
|
Manufacturer (Section G) |
NUVASIVE SPECIALIZED ORTHOPEDICS, INC. |
101 enterprise, suite 100 |
|
aliso viejo CA 92656 |
|
Manufacturer Contact |
john
mcintyre
|
101 enterprise, suite 100 |
aliso viejo, CA 92656
|
|
MDR Report Key | 6822919 |
MDR Text Key | 83726490 |
Report Number | 3006179046-2017-00044 |
Device Sequence Number | 1 |
Product Code |
HSB
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K141023 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,health |
Reporter Occupation |
Physician
|
Type of Report
| Initial,Followup |
Report Date |
07/26/2017 |
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 |
Physician
|
Device Model Number | P8.5-50C195 |
Device Catalogue Number | P8.5-50C195 |
Device Lot Number | A161215-19-0AA |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Was the Report Sent to FDA? |
No
|
Initial Date Manufacturer Received |
07/26/2017 |
Initial Date FDA Received | 08/25/2017 |
Supplement Dates Manufacturer Received | 07/26/2017
|
Supplement Dates FDA Received | 10/19/2017
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Hospitalization;
Required Intervention;
|
Patient Age | 17 YR |
Patient Weight | 52 |
|
|