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