UNKNOWN EXTERNAL FIXATOR PIN
Report
- Report Number
- 1020279-2020-01593
- Event Type
- Injury
- Date Received
- May 11, 2020
- Report Date
- October 1, 2020
- Manufacturer
- SMITH & NEPHEW, INC.
- Product Code
- JDW
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IS
- Reporter Occupation
- PHYSICIAN
Narratives
IT WAS REPORTED FROM A LITERATURE REVIEW THAT THE PATIENT PRESENTED PIN SITE INFECTION WHICH WAS TREATED BY LOCAL WOUND CARE INCLUDING RELAXING SKIN INCISIONS UNDER LOCAL ANESTHESIA, DEBRIDEMENT AND PARENTAL ADMINISTRATION OF CEFAZOLIN. THE AFFECTED COMPLAINT DEVICE, USED IN TREATMENT, WAS NOT RETURNED FOR EVALUATION. THEREFORE A PRODUCT ANALYSIS COULD NOT BE PERFORMED. AS DEVICE INFORMATION WAS NOT MADE AVAILABLE, DEVICE HISTORY RECORD, STERILIZATION DOCUMENTATION AND COMPLAINT HISTORY REVIEW CANNOT BE COMPLETED. THERE IS NO INFORMATION THAT WOULD SUGGEST THE DEVICE FAILED TO MEET SPECIFICATIONS. A RELATIONSHIP, IF ANY, BETWEEN THE DEVICE AND THE REPORTED INCIDENT COULD NOT BE CORROBORATED. NO MEDICAL DOCUMENTS WERE RECEIVED FOR INVESTIGATION. THEREFORE NO MEDICAL ASSESSMENT CAN BE PERFORMED AT THIS TIME. BASED ON THIS INVESTIGATION, THE NEED FOR CORRECTIVE ACTION IS NOT INDICATED. THE PAPER WAS PUBLISHED IN 2014. INFECTION, A POTENTIAL COMPLICATION ASSOCIATED WITH ANY SURGERY, CAN OCCUR AND POSSIBLE CAUSES COULD INCLUDE BUT ARE NOT LIMITED TO CONTAMINATION, PATIENT REACTION, AND POST-OPERATIVE HEALING ISSUE. WITHOUT THE RETURN OF THE ACTUAL PRODUCT INVOLVED AND NO PATIENT MEDICAL RECORDS AVAILABLE, OUR INVESTIGATION OF THIS REPORT IS INCONCLUSIVE. NO FURTHER INVESTIGATION IS WARRANTED FOR THIS COMPLAINT; HOWEVER WE WILL CONTINUE TO MONITOR FOR FUTURE COMPLAINTS AND INVESTIGATE AS NECESSARY. SHOULD THE DEVICE OR ADDITIONAL INFORMATION BE RECEIVED, THE COMPLAINT WILL BE REOPENED. WE CONSIDER THIS INVESTIGATION CLOSED.
"ARTHRODESIS WITH THE ILIZAROV DEVICE AFTER FAILED KNEE ARTHROPLASTY". AUTHOR: RAMI DAVID, MD ET AL., ORTHO BLUE JOURNAL, 2001. ACCORDING TO THE STUDY, THIRTEEN PATIENTS WITH FAILED TOTAL KNEE ARTHROPLASTY (TKA) DUE TO INFECTION (12 PATIENTS) OR ASEPTIC LOOSENING (1 PATIENT) UNDERWENT ARTHRODESIS USING AN SMITH AND NEPHEW ILIZAROV EXTERNAL FIXATOR. IT WAS DOCUMENTED THAT ONE PATIENT HAD PIN TRACK INFECTION, IT WAS SUCCESSFULLY TREATED BY LOCAL WOUND CARE INCLUDING RELAXING SKIN INCISIONS UNDER LOCAL ANESTHESIA, DEBRIDEMENT AND PARENTAL ADMINISTRATION OF CEFAZOLIN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 507981 | UNKNOWN EXTERNAL FIXATOR PIN | PIN, FIXATION, THREADED | JDW | SMITH & NEPHEW, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| R |