FDA Adverse Event Injury Summary report: N

NBX NON-BRIDGING EXTERNAL FIXATOR - SHOULDER

MDR report key: 1487842 · Received September 29, 2009

Report

Report Number
3005893246-2009-00001
Event Type
Injury
Date Received
September 29, 2009
Date of Event
September 22, 2009
Report Date
September 28, 2009
Manufacturer
NUTEK ORTHOPAEDICS, INC.
Product Code
KTT
PMA / PMN Number
K082833
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

WE WERE INFORMED THAT THE PHYSICIAN ADMITTED THE PT TO THE HOSPITAL REINFORCING HER ACTIVITY RESTRICTIONS. SHE WILL ALSO UNDERGO ADDITIONAL TRAINING REGARDING NON-WEIGHT BEARING. WE WERE INFORMED BY THE PHYSICIAN THAT THIS EVENT OCCURRED DUE TO THE PT PUTTING HER WEIGHT ON THE AFFECTED LIMB WHILE TRYING TO GET OUT OF BED SOON AFTER APPLICATION OF THE DEVICE. THE INSTRUCTIONS FOR USE CLEARLY STATE UNDER WARNINGS, FACTORS SUCH AS THE PT'S WEIGHT, ACTIVITY LEVEL, AND ADHERENCE TO WEIGHT BEARING OR LOAD BEARING INSTRUCTION HAVE AN EFFECT ON THE SERVICE LIFE OF THE DEVICE.

Description of Event or Problem · 1

APPROXIMATELY ONE WEEK AFTER APPLICATION OF THE DEVICE (NBX SHOULDER FIXATOR), PT PUT HER ENTIRE WEIGHT ON THE AFFECTED EXTREMITY TO PUSH HERSELF OUT OF BED, DISLOCATING THE FIXATOR AND LOOSING REDUCTION. IN 2009, THE PHYSICIAN AGAIN TOOK PT INTO SURGERY TO RE-ALIGN THE ANATOMICAL COMPONENTS (REDUCE THE FRACTURE), AND RE-ATTACH THE FIXATOR. THE PT WILL BE KEPT IN THE HOSPITAL FOR AN UNK AMOUNT OF TIME TO REINFORCE HER ACTIVITY RESTRICTIONS. THE PHYSICIAN STATED THAT THE PT'S WEIGHT WAS A CONTRIBUTING FACTOR TO THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NBX NON-BRIDGING EXTERNAL FIXATOR - SHOULDER NBX SHOULDER KTT NUTEK ORTHOPAEDICS, INC. NP07212009

Patients

Seq Age Sex Outcome Treatment
1 88 YR Required Intervention