BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EXPERT A2FN Ø9 LE CANN L360 TAN LIGHT GR

    MDR report key: 2873377 · Received December 14, 2012

    Report

    Report Number
    2520274-2012-03984
    Event Type
    Injury
    Date Received
    December 14, 2012
    Date of Event
    February 27, 2010
    Report Date
    May 20, 2010
    Manufacturer
    SYNTHES
    Product Code
    HSB
    PMA / PMN Number
    NON-US
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE WAS USED FOR TREATMENT. DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO DEVICE MARKETED IN THE USA. THIS INDIVIDUAL ADVERSE EVENT REPORT IS BEING MADE IN ACCORDANCE WITH THE SYNTHES MDR EXEMPTION REQUEST DATED OCTOBER 2011. A REVIEW OF THE EVENTS ASSOCIATED WITH THE REQUEST WAS PERFORMED AND IT WAS DETERMINED THAT NONE OF THE EVENTS CONSTITUTES SYSTEMIC ISSUES RELATED TO PRODUCT QUALITY, CHANGES IN PRODUCT DESIGN, METHOD OF USE, OR CHANGES IN EXPECTED RISK THRESHOLDS. REVIEW OF THE DATA ALSO INDICATED NO SIGNIFICANT CHANGE IN RISK/BENEFIT OF EACH PRODUCT CATEGORY, NO EVIDENCE OF DEFICIENCIES IN THE DESIGN, LABELING, OR MANUFACTURE OF THE DEVICE. AS NO LOT NUMBER WAS PROVIDED, NO DEVICE HISTORY RECORD REVIEW CAN BE PERFORMED. THE DEVICE IS NOT BEING RETURNED FOR EVALUATION, NO FURTHER INFORMATION IS AVAILABLE ON THIS EVENT. NO FURTHER INVESTIGATION CAN BE PERFORMED.

    Description of Event or Problem · 1

    THE EU COMPLAINT HANDLING UNIT REPORTED THAT THE NAIL WAS BROKEN POST-OPERATIVELY. INITIAL SURGERY WAS ON (B)(6) 2009, FOLLOWED BY PARTIAL WEIGHT BEARING ONE MONTH LATER WITH FULL WEIGHT BEARING PERMITTED TWO MONTHS LATER. PATIENT THEN STARTED TRAINING WITH BENCH PRESS AT 60 KG AND STOPPED TRAINING WHEN HE FELT THE PAIN AND THE IMPLANT BREAKAGE WAS FOUND. SURGEON REQUESTS ONLY PRODUCT CONFIRMATION AND THIS BREAKAGE WAS OBVIOUSLY CAUSED BY ACTIVITY OF PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EXPERT A2FN Ø9 LE CANN L360 TAN LIGHT GR FEMORAL NAIL HSB SYNTHES

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention