FDA Adverse Event Injury Summary report: N

UNK - NAIL

MDR report key: 2905749 · Received January 9, 2013

Report

Report Number
2520274-2013-00250
Event Type
Injury
Date Received
January 9, 2013
Report Date
December 14, 2012
Product Code
HSB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. WITHOUT A LOT NUMBER THE DEVICE HISTORY RECORDS REVIEW COULD NOT BE COMPLETED. THE INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN, AS NO PRODUCT WAS RECEIVED. IMPLANT DATE UNKNOWN. NO PART NUMBER REPORTED, HENCE NO 510K NUMBER CAN BE PROVIDED.

Description of Event or Problem · 1

ON AN UNKNOWN DATE A PATIENT WAS IMPLANTED WITH NAIL, 115MM BLADE, AND TWO LOCKING SCREWS. LATER, X-RAYS REVEALED FRACTURE HAD COLLAPSED, AND BLADE PUNCTURED THROUGH THE FEMORAL HEAD, AND INTO THE JOINT SPACE. THE X-RAYS ALSO REVEALED ONE OF THE LOCKING SCREWS WAS BROKEN AT THE END OF THE NAIL, AND THE OTHER APPEARED TO BE BENT, POSSIBLY BROKEN. ON (B)(6)2012 THE SURGEON OPTED TO ONLY REMOVE THE BLADE AND REPLACE IT WITH A SMALLER 95MM BLADE, TO MINIMIZE INVASIVENESS. THIS IS 2 OF 4 REPORTS FOR THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
10576 UNK - NAIL NAIL HSB

Patients

Seq Age Sex Outcome Treatment
1 74 YR Required Intervention SCREWS, HELICAL BLADE