FDA Adverse Event Injury Summary report: N

MANOS CARPAL TUNNEL RELEASE SYSTEM

MDR report key: 2427766 · Received January 20, 2012

Report

Report Number
3008792617-2011-00001
Event Type
Injury
Date Received
January 20, 2012
Date of Event
September 1, 2011
Report Date
December 20, 2011
Manufacturer
THAYER INTELLECTUAL PROPERTY INC.
Product Code
HRX
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THERE HAVE BEEN NO TRENDS IDENTIFIED RELATED TO THIS TYPE OF EVENT. ALTHOUGH A QUALITY INSP STEP SPECIFICALLY ASSESSES THE INTEGRITY OF THE HANDLE, AS A PREVENTIVE MEASURE, THE HANDLE HALVES ARE NOW SECURED WITH ADHESIVE.

Description of Event or Problem · 1

THE MANOS CARPAL TUNNEL RELEASE BLADE WAS USED IN A CARPAL TUNNEL RELEASE PROCEDURE. WHEN THE PHYSICIAN DEPLOYED THE RELEASE BLADE, THE HANDLE OF THE DEVICE SEPARATED. THE INSTRUMENT WAS DISCARDED AND A SECOND MANOS DEVICE WAS USED TO COMPLETE THE PROCEDURE. THE PT SUBSEQUENTLY REPORTED A PARESTHESIA OF THE SURFACE OF THE OPERATED HAND. A F/U EXPLORATORY SURGERY REVEALED THE MEDIAN NERVE HAD BEEN ABRADED. THE PHYSICIAN PLACED A SLEEVE AROUND THE NERVE TO AID IN HEALING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MANOS CARPAL TUNNEL RELEASE SYSTEM CARPAL TUNNEL RELEASE BLADE HRX THAYER INTELLECTUAL PROPERTY INC. TY-10-100 523339

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention