FDA Adverse Event Malfunction Summary report: N

APEX

MDR report key: 10665231 · Received October 12, 2020

Report

Report Number
3007289093-2020-00019
Event Type
Malfunction
Date Received
October 12, 2020
Date of Event
September 3, 2020
Report Date
October 12, 2020
Manufacturer
EXTREMITY MEDICAL, LLC.
Product Code
HWC
PMA / PMN Number
K130120
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE SURGEON REPORTED THAT THE 2.0 HEX DRIVER DEFORMED AND THEN BROKE DURING INSERTION OF APEX POSTS. INSERTION OF THE POST WAS REALLY TIGHT. THE SURGEON WAS ABLE TO GET THE POST IN THE MIDDLE FINGER PIP JOINT BUT NOTICED THAT THE DRIVER WAS TWISTED. DURING INSERTION OF ANOTHER POST IN THE INDEX FINGER PIP, THE POST HAD ABOUT 5-6 MM TO GO AND THE SURGEON FELT IT WAS REALLY TIGHT, AND THE DRIVER BROKE. THE SURGEON THEN TRIED USING PLIERS TO REMOVE THE POST AND THE HEAD OF THE POST BROKE OFF. THE SURGEON WAS UNABLE TO REMOVE THE TIP OF THE POST, AND WAS ABLE TO COMPLETE THE CASE BY PLATING OVER THE TOP DORSALLY WITH A PLATE AND 6 SCREWS (3 SCREWS ON EITHER SIDE OF THE JOINT). THE POST THAT BROKE WAS A 4.0 X 20 MM POST X 30 DEG. THE SURGEON INDICATED THE PATIENT HAD HARD, DENSE BONE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1131490 APEX BONE SCREW HWC EXTREMITY MEDICAL, LLC.

Patients

Seq Age Sex Outcome Treatment
1