FDA Adverse Event Malfunction Summary report: N

DEVICE FOR NAIL FIXATION

MDR report key: 2871731 · Received December 11, 2012

Report

Report Number
9615741-2012-00096
Event Type
Malfunction
Date Received
December 11, 2012
Report Date
December 11, 2012
Manufacturer
NEWDEAL SAS
Product Code
LXH
PMA / PMN Number
K091788
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PANTA COMPRESSION DEVICE: PRODUCT NUMBER 519130ND WAS ALSO USED DURING THIS SURGERY. TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFORMATION.

Description of Event or Problem · 1

THE TIBIAL DRILLS DID NOT PASS THROUGH THE PROTECTION GUIDE WHICH MEANS THAT IT PROBABLY DID NOT PASS THROUGH THE NAIL. THE IMPLEMENTATION OF THE COMPRESSION RODS WAS IMPOSSIBLE AND THE TIBIAL SCREWS WERE NOT IMPLANTED DUE TO MISSING TIME. THE NAIL WAS ONLY FIXED IN THE DISTAL PART (CALCANEUM). THE NAIL WAS NOT FIXED IN THE TIBIAL PART. THE PRODUCT WAS IN CONTACT WITH THE PATIENT BUT THERE WAS NO PATIENT INJURY OR DEATH ALLEGED. THE EVENT LEAD TO AN INCREASE OF SURGERY TIME OF 50 MINUTES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DEVICE FOR NAIL FIXATION PANTA NAIL LXH NEWDEAL SAS

Patients

Seq Age Sex Outcome Treatment
1