FDA Adverse Event Injury Summary report: N

UNKN SMITH+NEPHEW DEV

MDR report key: 11837142 · Received May 17, 2021

Report

Report Number
3003604053-2021-00199
Event Type
Injury
Date Received
May 17, 2021
Date of Event
February 27, 2020
Report Date
June 26, 2021
Manufacturer
SMITH & NEPHEW, INC.
Product Code
LDQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TU
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

INTERNAL COMPLAINT REFERENCE: (B)(4). H3, H6: THE REPORTED DEVICE, USED IN TREATMENT, WAS NOT RETURNED TO THE DESIGNATED COMPLAINT UNIT FOR INDEPENDENT EVALUATION, THUS VISUAL INSPECTION AND FUNCTIONAL TESTING COULD NOT BE PERFORMED. INSUFFICIENT PRODUCT IDENTIFICATION INFORMATION WAS PROVIDED AND THUS A MANUFACTURING RECORD, COMPLAINT HISTORY, INSTRUCTIONS FOR USE, OR RISK MANAGEMENT REVIEW COULD NOT BE CONDUCTED. ATTEMPTS TO OBTAIN MEDICAL DOCUMENTS WERE UNSUCCESSFUL AND THUS A THOROUGH MEDICAL INVESTIGATION WAS NOT PERFORMED. THE ROOT CAUSE AND/OR PATIENT OUTCOME BEYOND THAT WHICH WAS DOCUMENTED IN THE ARTICLE COULD NOT BE CONFIRMED NOR CONCLUDED; THEREFORE, NO FURTHER MEDICAL ASSESSMENT IS WARRANTED AT THIS TIME. SHOULD ANY ADDITIONAL CLINICAL INFORMATION BE PROVIDED THIS COMPLAINT WILL BE RE-EVALUATED. A RELATIONSHIP, IF ANY, BETWEEN THE SUBJECT DEVICE AND THE REPORTED EVENT COULD NOT BE DETERMINED. PLEASE REFER TO THE INSTRUCTIONS FOR USE FOR RECOMMENDATIONS ON PROPER USE OF THE DEVICE AND POTENTIAL TROUBLESHOOTING METHODS TO PREVENT FUTURE REOCCURRENCE OF THE REPORTED EVENT. NO CONTAINMENT OR CORRECTIVE ACTIONS ARE RECOMMENDED AT THIS TIME. IF THE PRODUCT ASSOCIATED WITH THIS EVENT IS RETURNED AT A FUTURE DATE, THIS INVESTIGATION WILL BE REOPENED FOR EVALUATION.

Additional Manufacturer Narrative · 1

INTERNAL COMPLAINT REFERENCE CASE-(B)(4). LITERATURE: THE INTERPOSITION OF SOFT TISSUE BETWEEN THE CORTICAL BUTTON AND FEMORAL LATERAL CORTEX SIGNIFICANTLY INCREASES BUTTON MIGRATION BUT DOES NOT NEGATIVELY AFFECT KNEE STABILITY AND CLINICAL OUTCOME. DOI.ORG/10.1016/J.KNEE.2020.02.021.

Description of Event or Problem · 1

IT WAS REPORTED THAT ON LITERATURE REVIEW " THE INTERPOSITION OF SOFT TISSUE BETWEEN THE CORTICAL BUTTON AND FEMORAL LATERAL CORTEX SIGNIFICANTLY INCREASES BUTTON MIGRATION BUT DOES NOT NEGATIVELY AFFECT KNEE STABILITY AND CLINICAL OUTCOME", AFTER AN ACL RECONSTRUCTION USING A STAPLE, A PATIENT HAD A SUPERFICIAL WOUND INFECTION. THE COMPLICATION WAS TREATED WITH DEBRIDEMENT AND ANTIBIOTICS. NO FURTHER INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
732377 UNKN SMITH+NEPHEW DEV DEVICE, GENERAL MEDICAL LDQ SMITH & NEPHEW, INC. UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other| R