WRISTORE DISTAL RADIUS FRACTURE FIXATOR
Report
- Report Number
- 1822565-2011-00549
- Event Type
- Malfunction
- Date Received
- February 15, 2011
- Date of Event
- January 11, 2010
- Report Date
- March 10, 2010
- Manufacturer
- ZIMMER, INC.
- Product Code
- KTT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- PHYSICIAN
Narratives
THE RETURNED FIXATOR BODY IS CRACKED AT THE BOTTOM OF THE DOVETAIL SLIDE NEAR THE SCREW AREA. THE SCREW CAN BE ROTATED FREELY IN THE HOLE WHICH ELIMINATES THE POSSIBILITY OF DAMAGE DUE TO CROSS THREADING. ALL THE SCREWS IN THIS DEVICE ARE INTENDED TO ARREST THE MOTION OF EITHER THE K-WIRE OR OTHER SUBASSEMBLY. DEPENDING ON THE LOCATION OF THE DORSAL OUTRIGGER INSIDE THE DOVETAIL SLIDE, THE SCREW WHERE THE FRACTURE HAS OCCURRED ACTS AS A STOPPER FOR THE SLIDE OR HOLDS THE DORSAL OUTRIGGER IN POSITION. IF THE SCREW HOLDS THE DORSAL OUTRIGGER, THERE IS NO CONTACT BETWEEN THE SCREW HEAD AND THE FIXATOR BODY. THIS CONDITION WILL NOT RESULT IN FRACTURE OF THE BODY. WHEN THE SCREW IS USED AS A STOPPER FOR THE DORSAL OUTRIGGER AND IF THE SCREW IS OVER TIGHTENED, THE ENTIRE LOAD WILL BE BORNE BY THE FIXATOR BODY. THIS CONDITION MAY LEAD TO CRACKING OF THE BODY. BASED ON AVAILABLE INFO, IT APPEARS THAT THE EXCESSIVE TORQUE APPLIED ON THE SCREW MAY BE THE CONTRIBUTING FACTOR FOR THE CRACK; HOWEVER, THIS CANNOT BE CONCLUSIVELY DETERMINED WITH THE AVAILABLE INFO. THE SURGICAL TECHNIQUE WARNS NOT TO OVER TIGHTEN THE SCREWS. REVIEW OF THE DEVICE HISTORY RECORDS DID NOT FIND ANY DEVIATIONS OR ANOMALIES. IT IS NOT SUSPECTED THAT THE PRODUCT FAILED TO MEET SPECIFICATIONS. THE INVESTIGATION COULD NOT VERIFY OR IDENTIFY ANY EVIDENCE OF PRODUCT CONTRIBUTION TO THE REPORTED PROBLEM. THIS MDR WAS IDENTIFIED DURING AN INTERNAL REVIEW TO MEET REPORTING REQUIREMENTS AND THEREFORE IS BEING FILED LATE.
IT IS REPORTED THAT THE PT WAS REVISED FOR A CRACK THAT WAS FOUND AT THE SCREW HOLE OF THE DOVETAIL SLIDE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | WRISTORE DISTAL RADIUS FRACTURE FIXATOR | KTT | ZIMMER, INC. | 61148077 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |