FDA Adverse Event Injury Summary report: N

ULTRAGUIDECTR (FORMERLY SX-ONE MICROKNIFE)

MDR report key: 15580287 · Received October 11, 2022

Report

Report Number
3013479847-2022-00002
Event Type
Injury
Date Received
October 11, 2022
Date of Event
February 3, 2022
Report Date
October 11, 2022
Manufacturer
SONEX HEALTH
Product Code
LXH
PMA / PMN Number
K192873
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DAMAGED NERVES DURING CARPAL TUNNEL RELEASE COULD CAUSE PERMANENT IMPAIRMENT OF THE HAND FUNCTION, OR CHRONIC PAIN. IT IS UNCLEAR IF THIS OCCURRED WITH THIS EVENT BASED ON THE INFORMATION PROVIDED. THE INSTRUCTION FOR USE INDICATES "INJURY TO NERVES " AS A POTENTIAL COMPLICATION. IT IS UNKNOWN IF THIS PATIENT REQUIRED AN ADDITIONAL SURGICAL INTERVENTION TO PREVENT PERMANENT DAMAGE. THE REPORTED EVENT DATE IS AN APPROXIMATE DATE OF THE EVENT. THE DEVICE WAS NOT RETURNED FOR ANALYSIS. ADDITIONALLY, THE LOT NUMBER WAS NOT REPORTED AND THEREFORE A REVIEW OF DEVICE HISTORY RECORDS COULD NOT BE PERFORMED.

Description of Event or Problem · 0

THE PHYSICIAN INDICATED THAT HE HAD A PATIENT WITH A POTENTIAL NERVE INJURY. PER THE PHYSICIAN, THERE WAS CONTRACTURE POST PROCEDURE/POTENTIAL NERVE INJURY. IMAGING WAS COMPLETED AND NERVE DAMAGE WAS NOT SEEN IN THE IMAGES, BUT THE PATIENT WAS REFERRED TO A HAND SURGEON. THERE WAS NO DEVICE MALFUNCTION REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2482029 ULTRAGUIDECTR (FORMERLY SX-ONE MICROKNIFE) CARPAL TUNNEL RELEASE SYSTEM LXH SONEX HEALTH 600112-001

Patients

Seq Age Sex Outcome Treatment
1 Unknown Disability