FDA Adverse Event
Malfunction
Summary report: N
SKELETAL DYNAMICS
MDR report key: 10299776
·
Received July 20, 2020
Report
- Report Number
- 3006742481-2020-00003
- Event Type
- Malfunction
- Date Received
- July 20, 2020
- Date of Event
- January 16, 2020
- Report Date
- February 3, 2020
- Manufacturer
- SKELETAL DYNAMICS
- Product Code
- HSB
- PMA / PMN Number
- K092720
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Additional Manufacturer Narrative · 1
VISUAL INSPECTION OF THE RETURNED UNIT SHOWED NO MARKS FROM AN INSERTED SCREW IN THE PROXIMAL AND DISTAL DEVICE SCREW HOLES. THE REPORTED COMPLAINT IS DUE TO PROCEDURE ERROR AS THERE WAS EVIDENCE OF MISSING SCREW PLACEMENTS VIA FLUOROSCOPY.
Description of Event or Problem · 1
SURGEON PERFORMED A PLATE REMOVAL FOR FRACTURED NAIL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 763772 | SKELETAL DYNAMICS | WRIST ARTHRODESIS NAIL SYSTEM | HSB | SKELETAL DYNAMICS | AZ0710004 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Other |