FDA Adverse Event Injury Summary report: N

130 DEGREE TARGETING DEVICE

MDR report key: 2622 · Received March 9, 1993

Report

Report Number
33462-1993-09002
Event Type
Injury
Date Received
March 9, 1993
Date of Event
January 9, 1993
Report Date
January 9, 1993
Manufacturer
HOWMEDICA, INC.
Product Code
HLP
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
CO, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

130 DEGREE GAMMA NAIL IMPLANTED. SURGEON WAS ABLE TO (WITH DIFFICULTY) GET THE PROXIMAL SCREW INSERTED - AS HE TARGETED THE DISTAL HOLE - TARGETING DEVICE CREATED A POSTERIOR POSITIONED HOLE - WAS UNABLE TO DO FREEHAND SCREW PLACEMENT - HOLE ABONDONEDEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: UNKNOWN. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. INVALID DATA - WHETHER DEVICE USED AS LABELED/INTENDED. INVALID DATA - REGARDING EVALUATION BY USER AFTER EVENT. METHOD OF EVALUATION: NONE OR UNKNOWN. RESULTS OF EVALUATION: NONE OR UNKNOWN. CONCLUSION: NONE OR UNKNOWN. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: YES. CORRECTIVE ACTIONS: NONE OR UNKNOWN. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 130 DEGREE TARGETING DEVICE Implant HLP HOWMEDICA, INC.

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention