FDA Adverse Event Malfunction Summary report: N

TARGET DEVICE 300 X 160 MM

MDR report key: 2208685 · Received August 8, 2011

Report

Report Number
9610622-2011-00348
Event Type
Malfunction
Date Received
August 8, 2011
Date of Event
July 18, 2011
Report Date
July 19, 2011
Manufacturer
STRYKER OSTEOSYNTHESIS KIEL
Product Code
LXH
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

EVAL SUMMARY: NO MFG FAULTS FOUND. THE SUBJECT OF THE COMPLAINT, PROBLEMS WITH DISTAL LOCKING COULD NOT BE VERIFIED. THE DEVICES WERE DOCUMENTED AS FAULTLESS PRIOR TO DISTRIBUTION AND HAD BEEN IN USE FOR A LONGER TIME (SINCE 2006/2008). THUS WE PRE-SUPPOSE THAT THE DEVICES HAD FULFILLED THEIR TASKS IN FORMER SURGERIES AS INTENDED, WITHOUT ANY PROBLEMS REPORTED. EVAL REVEALED EVIDENCE THAT THE REPORTED EVENT IS NOT KINKED TO A DEFICIENCY OF THE DEVICE, BUT RATHER RELATED TO AN INTRA-OPERATIVE PROCEDURE. LOT KME 902045 MFG DATE: 06/2008.

Description of Event or Problem · 1

THE NURSE, REPORTED TO OUR SALES REP, THAT DURING USING THE TWO TARGET DEVICES THE DISTAL DRILLINGS ARE WRONG. THE MEDULLARY CAVITA OPENINGS ARE BIXCUT. GAMMA3 NAILS WERE USED. REPLACEMENTS WERE AVAILABLE SO THAT THE SURGEON COULD COMPLETED THE SURGERIES WITHOUT PROLONGATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TARGET DEVICE 300 X 160 MM INSTRUMENT LXH STRYKER OSTEOSYNTHESIS KIEL NA KME901095 KME9020

Patients

Seq Age Sex Outcome Treatment
1 UNK Other