FDA Adverse Event Injury Summary report: N

RECON TARGETING ARM

MDR report key: 2202639 · Received August 11, 2011

Report

Report Number
1825034-2011-00705
Event Type
Injury
Date Received
August 11, 2011
Date of Event
June 29, 2011
Report Date
July 14, 2011
Manufacturer
BIOMET TRAUMA
Product Code
LXH
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE USER FACILITY IS OUTSIDE OF THE UNITED STATES. NO MEDWATCH REPORT WAS RECEIVED.CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT.THE LOT NUMBER INFORMATION NEEDED TO REVIEW DEVICE HISTORY RECORDS WAS UNAVAILABLE.THIS REPORT SUBMITTED (B)(4), 2011.

Description of Event or Problem · 1

IT WAS REPORTED THAT PATIENT UNDERWENT FEMORAL RECONSTRUCTION SURGERY ON (B)(6), 2011. DURING THE PROCEDURE, THE SURGEON USED A TARGETING ARM TO VERIFY POSITIONING OF THE PROXIMAL SCREWS SO THAT THEY WOULD PASS THROUGH THE ANTEGRADE NAIL AND HOLD THE NAIL IN PLACE. SUBSEQUENTLY, THE PATIENT WAS REVISED ON (B)(6), DUE TO THE PROXIMAL SCREWS MISSING THE ANTEGRADE NAIL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RECON TARGETING ARM ORTHOPEDIC MANUAL SURGICAL INSTRUMENT LXH BIOMET TRAUMA N/A

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R