FDA Adverse Event Malfunction Summary report: N

UNIV-FEMNAIL Ø10 L360 SST

MDR report key: 2912056 · Received January 11, 2013

Report

Report Number
8030965-2013-00113
Event Type
Malfunction
Date Received
January 11, 2013
Date of Event
November 17, 2012
Report Date
December 14, 2012
Manufacturer
SYNTHES GMBH
Product Code
HSB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE USED FOR TREATMENT AND NOT DIAGNOSIS. THE MEASURABLE DIMENSIONS WERE FOUND TO BE IN COMPLIANCE WITH THE TECHNICAL DRAWINGS AND ARE WITHIN SPECIFICATION. THE EXAMINATION OF THE RAW MATERIAL TESTING CERTIFICATE AND THE MANUFACTURING PAPERS SHOWED NO DEVIATIONS REGARDING MATERIAL ANALYSIS, STRENGTH AND STRUCTURAL STABILITY. THE VALUES WERE IN COMPLIANCE WITH AO ASIF SPECIFICATION AND WITH THE INTERNATIONAL STANDARD. WE ARE NOT ABLE TO DETERMINE THE EXACT CAUSE OF THIS OCCURRENCE, AS NO FURTHER DETAILED INFORMATION WAS AVAILABLE. WE DO SUPPOSE THOUGH THAT A MECHANICAL OVERLOAD DURING USE CAUSED THE DEFORMATION OF THE SCREW. NO PRODUCT RELATED CONDITION WAS FOUND.

Additional Manufacturer Narrative · 1

DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO DEVICE MARKETED IN THE USA. THE INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN, AS NO PRODUCT WAS RECEIVED. THE MANUFACTURING DOCUMENTS WERE REVIEWED AND NO COMPLAINT RELATED ISSUES WERE FOUND.

Description of Event or Problem · 1

DEVICE REPORT FROM SYNTHES (B)(4) REPORTS AN EVENT IN (B)(4) AS FOLLOWS: DURING A PROCEDURE, THE NAIL BECAME BENT. IT WAS REPORTED THE DRILL BIT GUIDE WAS PASSED AND REAMING OF THE MEDULLARY CANAL WAS STARTED WITH 8.5MM DRILL AND THEN TO 11MM DRILL TO PLACE THE NAIL. THE NAIL WAS INSERTED MANUALLY AND THEN WAS HIT WITH THE MALLET UNTIL IT STOP AND THE INSERTION HANDLE IS ROTATED ANTERIORLY. THE SURGEON DECIDED TO BACK OUT THE NAIL A BIT. UNDER THE IMAGE INTENSIFIER, IT WAS NOTED THAT THE TIP OF THE NAIL IS AT THE BEGINNING OF THE FRACTURE. REPORTEDLY THE NAIL POINT WAS BENT ANTERIORLY AT THE DISTAL LOCK REGION. IT WAS THEN ENTERED BY THE KEY ROD IN THE LOCKING HOLE MORE PROXIMAL AND STRAIGHTENING WAS ATTEMPTED. THE MOUNTING WAS REVIEWED. THE NAIL WAS RE-ENTERED THROUGH THE GUIDE INTO THE MEDULLARY CAVITY. THE NAIL WAS ADVANCED MANUALLY AND IMPACTED WITH A MALLET.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
16863 UNIV-FEMNAIL Ø10 L360 SST UNIV-FEMNAIL HSB SYNTHES GMBH 2777317

Patients

Seq Age Sex Outcome Treatment
1 35 YR