FDA Adverse Event Injury Summary report: N

UNK - NAILS: FRN

MDR report key: 12352854 · Received August 23, 2021

Report

Report Number
2939274-2021-04795
Event Type
Injury
Date Received
August 23, 2021
Report Date
August 12, 2021
Manufacturer
WRIGHTS LANE SYNTHES USA PRODUCTS LLC
Product Code
JDS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS FOR AN UNK - NAILS: FRN/UNKNOWN LOT. PART AND LOT NUMBERS ARE UNKNOWN; UDI NUMBER IS UNKNOWN. COMPLAINANT PART IS NOT EXPECTED TO BE RETURNED FOR MANUFACTURER REVIEW/INVESTIGATION. WITHOUT A LOT NUMBER THE DEVICE HISTORY RECORDS REVIEW COULD NOT BE COMPLETED. PRODUCT WAS NOT RETURNED. BASED ON THE INFORMATION AVAILABLE, IT HAS BEEN DETERMINED THAT NO CORRECTIVE AND/OR PREVENTATIVE ACTION IS PROPOSED. THIS COMPLAINT WILL BE ACCOUNTED FOR AND MONITORED VIA POST MARKET SURVEILLANCE ACTIVITIES. IF ADDITIONAL INFORMATION IS MADE AVAILABLE, THE INVESTIGATION WILL BE UPDATED AS APPLICABLE. DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

IT WAS REPORTED THAT, THE PATIENT UNDERWENT AN ANTEGRADE INTRAMEDULLARY PROCEDURE FOR CLOSED SUBTROCH FEMUR FRACTURE. THERE WAS A SMALL ALIGNMENT/MALROTATION REPORTED. NO POST-OPERATIVE COMPLICATIONS REPORTED. THIS REPORT IS FOR ONE (1) UNK - NAILS: FRN. THIS IS REPORT 1 OF 4 FOR COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1249488 UNK - NAILS: FRN NAIL, FIXATION, BONE JDS WRIGHTS LANE SYNTHES USA PRODUCTS LLC

Patients

Seq Age Sex Outcome Treatment
1 88 YR Required Intervention UNK - END CAPS: FEMORAL NAIL| UNK - NAIL HEAD ELEMENTS: FRN RECON SCREW| UNK - SCREWS: LOCKING