FDA Adverse Event Injury Summary report: N

SYNFRAME RING CLAMP

MDR report key: 2944956 · Received February 1, 2013

Report

Report Number
8030965-2013-10015
Event Type
Injury
Date Received
February 1, 2013
Date of Event
January 12, 2011
Report Date
January 12, 2011
Manufacturer
SYNTHES GMBH
Product Code
LXH
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). ANY ADDITIONAL INFORMATION RECEIVED REGARDING THIS EVENT AFTER FILING THIS REPORT SHALL BE FILED ON A SUPPLEMENTAL MDR. THE DEVICE WAS REC'D WITH NO VISIBLE DAMAGES. A FUNCTION TEST ACCORDING TO THE TEST INSTRUCTION WAS MADE AND THE CLAMPS WERE CHECKED. NO DISCREPANCY TO THE SPECIFICATION WAS FOUND; IT WAS POSSIBLE TO ATTACH THE CLAMPS AND THEY DID HOLD AS REQUIRED. NO MFG RELATED FAULT COULD BE DETECTED. THE MFG RECORDS WERE REVIEWED AND NO COMPLAINT RELATED ISSUES WERE FOUND.

Description of Event or Problem · 1

DURING AN ALIF PROCEDURE, ASSISTANT SURGEON AND NEURO SURGEON HAD DIFFICULTY USING THE SYNFRAME RING CALM TO ATTACH TO THE RETRACTOR RING. THE RING CLAMP BEGAN TO SLIP AND NOT HOLD IN PLACE. THE ASSISTANT SURGEON AND NEURO SURGEON USED EIGHT DIFFERENT SYNFRAME RING CLAMPS AND HAD DIFFICULTY WITH ALL EIGHT OF THEM. THE PROCEDURE WAS COMPLETED AND NO HARM TO THE PT. THE PROCEDURE TOOK AND ADDITIONAL 10 TO 15 MINUTES TO COMPLETE. THIS IS 6 OF 8 REPORTS FOR THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
44933 SYNFRAME RING CLAMP LXH SYNTHES GMBH 3512720

Patients

Seq Age Sex Outcome Treatment
1 42 YR