FDA Adverse Event Injury Summary report: N

PERI-LOC

MDR report key: 1894098 · Received November 9, 2010

Report

Report Number
1020279-2010-00317
Event Type
Injury
Date Received
November 9, 2010
Date of Event
October 26, 2010
Report Date
November 9, 2010
Manufacturer
SMITH & NEPHEW, INC.
Product Code
HRS
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

IT WAS CONCLUDED THAT THE LOCKING PLATE FRACTURED BY METAL FATIGUE CRACKING. THE CRACK PROPAGATED BY FURTHER METAL FATIGUE LEADING TO AN EVENTUAL FRACTURE OF THE PLATE. FATIGUE CRACKING IS CAUSED BY THE PLATE BEARING CYCLIC (I.E. REPEATED) STRESSES IN EXCESS OF THE MATERIAL ENDURANCE LIMIT FOR AN EXTENDED PERIOD OF TIME. THESE EXCESSIVE CYCLIC STRESSES MAY BE CAUSED BY ANY NUMBER OF CONDITIONS, INCLUDING BUT NOT LIMITED TO (I) POOR BONE QUALITY, (II) EXCESSIVE PATIENT ACTIVITY LEVELS PRIOR TO FULL BONE UNION, AND (III) CHRONIC NON-UNION OR MAL-UNION OF THE BONE FRACTURE. NO MATERIALS OR MANUFACTURING FLAWS WERE FOUND IN THIS INVESTIGATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PLATE BENT REQUIRING A REVISION SURGERY TO CORRECT.

Description of Event or Problem · 1

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PERI-LOC PLATE HRS SMITH & NEPHEW, INC. 05CM14475

Patients

Seq Age Sex Outcome Treatment
1 62 YR Hospitalization| R