FDA Adverse Event Injury Summary report: N

ULTRAGUIDECTR

MDR report key: 18588050 · Received January 26, 2024

Report

Report Number
3013479847-2024-00001
Event Type
Injury
Date Received
January 26, 2024
Date of Event
November 17, 2023
Report Date
January 26, 2024
Manufacturer
SONEX HEALTH
Product Code
LXH
UDI-DI
00860002094700
PMA / PMN Number
K192873
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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. TENDON INJURY IS REFERENCED IN THE ULTRAGUIDECTR INSTRUCTIONS FOR USE AS A POSSIBLE COMPLICATION. NO DEVICE MALFUNCTION WAS REPORTED.

Description of Event or Problem · 0

THE ULTRAGUIDECTR PRIMED AND FUNCTIONED NORMALLY DURING THE PROCEDURE ON (B)(6) 2023, AND THE PROCEDURE WAS UNEVENTFUL. THE PHYSICIAN INDICATED THAT HE TOOK MULTIPLE PASSES WITH THE DEVICE TO ENSURE A COMPLETE RELEASE, BUT DID NOT NOTE ANY UNUSUAL DIFFICULTY CUTTING THE LIGAMENT. THE PATIENT TOLERATED THE PROCEDURE WELL AND THE POST-OPERATIVE COURSE WAS UNEVENTFUL UNTIL 3 WEEKS POST-PROCEDURE, WHEN THE PATIENT HEARD A POP IN THEIR HAND AND WAS HAVING DIFFICULTY NORMALLY BENDING THE RING FINGER. AN EVALUATION WITH DIAGNOSTIC ULTRASOUND CONFIRMED A FLEXOR DIGITORUM SUPERFICIALIS (FDS)-RING FINGER RUPTURE AT THE LEVEL OF THE WRIST CREASE. THE PHYSICIAN EXPLORED AND REPAIRED THE TENDON, AND THE PATIENT IS RECOVERING UNEVENTFULLY. THE PHYSICIAN DID NOT SEE ANYTHING UNUSUAL AT THE TIME OF THE TENDON REPAIR AND THE PATIENT HAD NO OTHER IDENTIFIABLE RISK FACTORS FOR TENDON RUPTURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1016937 ULTRAGUIDECTR CARPAL TUNNEL RELEASE SYSTEM LXH SONEX HEALTH 600112-001 00860002094700

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention