FDA Adverse Event Malfunction Summary report: N

TARGET DEVICE 300X160MM

MDR report key: 2531959 · Received April 9, 2012

Report

Report Number
9610622-2012-00165
Event Type
Malfunction
Date Received
April 9, 2012
Date of Event
March 21, 2012
Report Date
March 23, 2012
Manufacturer
STRYKER OSTEOSYNTHESIS KIEL
Product Code
LXH
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

ONCE THE INVESTIGATION HAS BEEN COMPLETED ANY ADDITIONAL INFO WILL BE REPORTED IN A SUPPLEMENTAL REPORT. ASSOCIATED DEVICE: (B)(4) TROCHANTERIC NAIL KIT, TI 11X180MM X 125, LOT K128753; 13200090 NAIL HOLDING SCREW 8X35MM, LOT UNK; 13200065 SCREWDRIVER 8MM, BALL-TIP, T-HANDLE 8X330MM, LOT K448154.

Description of Event or Problem · 1

OUR SALE REP REPORTED THAT DURING A SURGERY PROCEDURE IT WAS NOT POSSIBLE TO MAKE THE NAIL OFF OF THE TARGET DEVICE. THEY TRIED TO REMOVE ALL SCREWS FROM THE TARGET DEVICE BUT IT WAS NOT POSSIBLE. THEY NEEDED TO IMPLANT A NEW NAIL WITH THE SAME CERVICAL HOLE AND DISTAL HOLE. THEY USED A NAIL EXTRACTION ADAPTER. AT THE END THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TARGET DEVICE 300X160MM INSTRUMENT LXH STRYKER OSTEOSYNTHESIS KIEL NA KME902914

Patients

Seq Age Sex Outcome Treatment
1 65 YR Other