SIGN IM NAIL
Report
- Report Number
- 3034525-2023-00150
- Event Type
- Injury
- Date Received
- August 16, 2023
- Date of Event
- September 11, 2023
- Report Date
- November 9, 2023
- Manufacturer
- SIGN FRACTURE CARE INTERNATIONAL
- Product Code
- HSB
- PMA / PMN Number
- K022632
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KE
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
A PRODUCT INVESTIGATION WAS PERFORMED FOR THIS DEVICE. THE ACTUAL DEVICE WAS NOT RETURNED TO THE MANUFACTURER FOR EVALUATION. THE ROOT CAUSE OF THE BROKEN NAIL IS UNDETERMINED BUT SUSPECTED TO BE CAUSED BY FATIGUE FROM NON-UNION. THE RADIOGRAPHIC AND CLINICAL DATA WERE REVIEWED BY A SIGN ORTHOPEDIC SURGEON. THIS FAILURE DOES NOT INDICATE A DEFECT IN THE PRODUCT. THE RISK ASSOCIATED WITH THIS TYPE OF FAILURE WAS EVALUATED DURING THE RISK MANAGEMENT PROCESS AND WAS DEEMED AN ACCEPTABLE LEVEL OF RISK TO THE PATIENT. SIGN FRACTURE CARE INTERNATIONAL CONTINUES TO MONITOR THESE EVENTS AS PART OF OUR POST MARKET ACTIVITIES.
A PRODUCT INVESTIGATION WAS PERFORMED FOR THIS DEVICE. THE ACTUAL DEVICE WAS NOT RETURNED TO THE MANUFACTURER FOR EVALUATION. THE ROOT CAUSE OF THE BROKEN NAIL IS UNDETERMINED BUT SUSPECTED TO BE CAUSED BY FATIGUE FROM NON-UNION. THERE IS NO WAY TO PREDICT A NON-UNION OR FAILURE TO HEAL. THE RADIOGRAPHIC AND CLINICAL DATA WERE REVIEWED BY A SIGN ORTHOPEDIC SURGEON. THIS FAILURE DOES NOT INDICATE A DEFECT IN THE PRODUCT. THE RISK ASSOCIATED WITH THIS TYPE OF FAILURE WAS EVALUATED DURING THE RISK MANAGEMENT PROCESS AND WAS DEEMED AN ACCEPTABLE LEVEL OF RISK TO THE PATIENT. SIGN FRACTURE CARE INTERNATIONAL CONTINUES TO MONITOR THESE EVENTS AS PART OF OUR POST MARKET ACTIVITIES.
WE BECAME AWARE ON (B)(6) 2023 THAT A SIGN IM NAIL IMPLANTED TO REPAIR A FRACTURE WAS FOUND TO BE BROKEN DURING A FOLLOW UP VISIT. SURGEON COMMENT: "NONUNION OF FRACTURE SITE, BOOKED FOR REPLACEMENT OF NAIL AND BONE GRAFTING."
WE BECAME AWARE ON 11/09/2023 THAT A SIGN IM NAIL IMPLANTED TO REPAIR A FRACTURE WAS EXCHANGED. THE IM NAIL WAS PREVIOUSLY REPORTED TO THE FDA AS BROKEN ON (B)(6) 2023, WITH THE PATIENT IDENTIFIER 170808. THE BROKEN IM NAIL WAS REPLACED WITH A 11MM X 400MM STANDARD NAIL PER THE SIGN TECHNIQUE MANUAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1895859 | SIGN IM NAIL | INTRAMEDULLARY FIXATION ROD | HSB | SIGN FRACTURE CARE INTERNATIONAL |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 52 YR | Male | Hospitalization| R |