FDA Adverse Event Injury Summary report: N

SIGN FIN NAIL

MDR report key: 2200771 · Received July 28, 2011

Report

Report Number
3034525-2011-00030
Event Type
Injury
Date Received
July 28, 2011
Date of Event
July 22, 2011
Report Date
July 25, 2011
Manufacturer
SURGICAL IMPLANT GENERATION NETWORK (SIGN)
Product Code
HSB
PMA / PMN Number
K043200
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PK
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

REPORTS OF A BROKEN FIN NAIL AT F/U. REVIEW OF PT X-RAYS SHOWS FIN NAIL BROKEN AT THE PROXIMAL SLOT. SURGEON REPLACED BROKEN FIN NAIL WITH A STANDARD I. M. NAIL. CAUSE OF THE BREAKAGE WAS FULL WEIGHTBEARING ON NONUNION WITH A VERY HIGH FEMUR FRACTURE. NO INDICATION OF PRODUCT DEFECT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SIGN FIN NAIL SIGN FIN NAIL HSB SURGICAL IMPLANT GENERATION NETWORK (SIGN) F10X280 003495 OR 004393

Patients

Seq Age Sex Outcome Treatment
1 25 YR Hospitalization