FDA Adverse Event Malfunction Summary report: N

K-WIRE, RECON 3.2 X 400 MM

MDR report key: 1030804 · Received April 17, 2008

Report

Report Number
9610622-2008-00042
Event Type
Malfunction
Date Received
April 17, 2008
Date of Event
March 25, 2008
Report Date
March 25, 2008
Manufacturer
STRYKER OSTEOSYNTHESIS KIEL
Product Code
LXH
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE NOT RETURNED. NO EVAL WILL BE PERFORMED. IF THE DEVICE OR ADD'L INFO BECOMES AVAILABLE, IT WILL BE REPORTED ON A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

IT WAS REPORTED, DURING T2 RECON NAIL SURGERY, THE TIP OF K-WIRE BROKEN INSIDE THE FEMORAL BONE, AND THE SURGEON COULD NOT REMOVE THE TIP OF THE K-WIRE. THE LENGTH OF THE BROKEN TIP IS ABOUT 5MM. THE SURGEON USED ANOTHER NEW K-WIRE, AND THE PROCEDURE WAS COMPLETED WITHOUT A PROBLEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 K-WIRE, RECON 3.2 X 400 MM INSTRUMENT LXH STRYKER OSTEOSYNTHESIS KIEL NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Other