FDA Adverse Event Injury Summary report: N

TRIM-IT FIXATION SCREW, 2.7 MM X 30 MM

MDR report key: 1972875 · Received January 28, 2011

Report

Report Number
1220246-2011-00012
Event Type
Injury
Date Received
January 28, 2011
Date of Event
January 13, 2011
Report Date
January 14, 2011
Manufacturer
ARTHREX, INC.
Product Code
HWC
PMA / PMN Number
K041189
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AR, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

NO FURTHER PATIENT INFORMATION WAS PROVIDED AT THE TIME OF THIS REPORT OR MADE AVAILABLE IN RESPONSE TO FOLLOW-UP COMMUNICATION. NO ADDITIONAL ADVERSE CONSEQUENCES HAVE BEEN REPORTED FROM THIS EVENT. THIS DEVICE IS USED FOR TREATMENT. THE DEVICE WAS RECEIVED AND AN EVALUATION WAS CONDUCTED. BOTH SIDES OF THE SCREW WERE CUT. THE PATIENT'S CONDITION AS REPORTED COULD BE RELATED TO AN ADVERSE PATIENT REACTION TO ANY OF THE MATERIALS IMPLANTED AND CANNOT BE DETERMINED FROM EVALUATION OF THE PARTIAL RETURNED DEVICE. DEVICE HISTORY RECORD REVEALED NOTHING RELEVANT TO THIS EVENT. ABSORPTION OF BIODEGRADABLE IMPLANTS BEGINS AT IMPLANTATION AS A RESULT OF NORMAL HYDROLYSIS OF THE IMPLANT. THE RATE AT WHICH THE IMPLANT DEGRADES AND IS REABSORBED CAN BE AFFECTED BY NUMEROUS FACTORS INCLUDING, BUT NOT LIMITED TO IMPLANTATION SITE VASCULARITY, STRESS ON THE IMPLANTS, SURGICAL TECHNIQUES EMPLOYED DURING IMPLANTATION, PATIENT FACTORS (SUCH AS AGE, IMMUNE SYSTEM STATUS, BONE QUALITY, BODY CHEMISTRY AND SENSITIVITY TO IMPLANT MATERIALS), AND PATIENT POST-OP COMPLIANCE TO REHABILITATION PROTOCOLS. THERE IS NO MINIMUM OR MAXIMUM ESTABLISHED RESORPTION RATES FOR BIOABSORBABLE IMPLANTS. BIOABSORBABLE IMPLANTS ARE DESIGNED WITH MATERIAL QUALITIES REQUIRED TO MAINTAIN NECESSARY PROPERTIES THROUGHOUT THE HEALING PROCESS UNDER NORMAL PATIENT CONDITIONS. PRODUCT DIRECTIONS FOR USE WARNS OF POSSIBLE FOREIGN BODY AND ALLERGIC-LIKE REACTIONS TO THE IMPLANT MATERIALS. PATIENT SENSITIVITY TO DEVICE MATERIALS MUST BE CONSIDERED PRIOR TO IMPLANTATION. THIS IS THE FIRST COMPLAINT OF THIS TYPE FOR THIS PART/LOT NUMBER COMBINATION. THE POTENTIAL CAUSES OF THIS EVENT ARE BEING COMMUNICATED TO THE EVENT REPORTER.

Description of Event or Problem · 1

PATIENT HAD 19-MONTH POST-OP REACTION; PAIN AND SWELLING. DOS (B)(6) 2009. BI-LATERAL BUNIONECTOMY ON BOTH FEET. PER SURGEON, 'FOREIGN BODY REACTION'; PIN HAD NOT ABSORBED. LEFT FOOT X-RAY SHOWED THE PIN INTACT, IT HAD NOT MIGRATED. SECOND SURGERY, (B)(6) 2010, IT WAS REMOVED. NOTHING WAS PUT IN ITS PLACE. PER SURGEON, THE BONE CUT HAD HEALED. RIGHT FOOT PIN NOT BEING RETURNED. PT WAS GIVEN PERCOCET FOR PAIN AND MOBIC FOR INFLAMMATION. LEVOXYL (THYROID), ESTRADIOL (HORMONES). PATIENT: NON SMOKER, NO ALLERGIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRIM-IT FIXATION SCREW, 2.7 MM X 30 MM SCREW, FIXATION, BONE HWC ARTHREX, INC. 208504

Patients

Seq Age Sex Outcome Treatment
1 62 YR Other AR-4161B, LOT 208504