FDA Adverse Event Injury Summary report: N

SIGN IM NAIL

MDR report key: 11697313 · Received April 20, 2021

Report

Report Number
3034525-2021-00060
Event Type
Injury
Date Received
April 20, 2021
Date of Event
April 1, 2021
Report Date
April 8, 2021
Manufacturer
SIGN FRACTURE CARE INTERNATIONAL
Product Code
HSB
PMA / PMN Number
K022632
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
LI
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

A PRODUCT INVESTIGATION WAS PERFORMED FOR THIS DEVICE. THE ACTUAL DEVICE WAS NOT RETURNED TO THE MANUFACTURER FOR EVALUATION. THE ROOT CAUSE OF THE NON-UNION IS UNDETERMINED. THERE IS NO WAY TO PREDICT A NON-UNION OR FAILURE TO HEAL. THE ROOT CAUSE OF THE INFECTION IS UNDETERMINED. INFECTIONS HAVE MANY CAUSES AND TREATMENTS. EACH INFECTION IS ADDRESSED INDIVIDUALLY AND TAKEN VERY SERIOUSLY BY BOTH THE ATTENDING SURGEON AND SIGN SURGEONS AT SIGN HEADQUARTERS. THE RADIOGRAPHIC AND CLINICAL DATA WERE REVIEWED BY A SIGN ORTHOPEDIC SURGEON. THIS FAILURE DOES NOT INDICATE A DEFECT IN THE PRODUCT. A MINIMAL RISK IS ASSOCIATED WITH THIS FAILURE. SIGN FRACTURE CARE INTERNATIONAL CONTINUES TO MONITOR THESE EVENTS AS PART OF OUR POST MARKET SURVEILLANCE ACTIVITIES.

Description of Event or Problem · 1

WE BECAME AWARE ON 4/08/2021 THAT A SIGN IM NAIL IMPLANTED TO REPAIR A FRACTURE WAS REPLACED DUE TO A NON-UNION WITH INFECTION. THE IM NAIL WAS REPLACED WITH A 11MM X 280MM FIN IM NAIL PER THE SIGN TECHNIQUE MANUAL. SURGEON COMMENT: " PREVIOUS NAIL AND PROXIMAL INTERLOCKS REMOVED. FRACTURE SITE CURRETTED AND PACKED WITH VANCOMYCIN POWDER."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
589769 SIGN IM NAIL INTRAMEDULLARY FIXATION ROD HSB SIGN FRACTURE CARE INTERNATIONAL

Patients

Seq Age Sex Outcome Treatment
1 41 YR Hospitalization| R