FDA Adverse Event Injury Summary report: N

INSERTION HANDLE F/TROCHANTERIC FIXATION NAILS

MDR report key: 2950086 · Received February 6, 2013

Report

Report Number
2530088-2013-10047
Event Type
Injury
Date Received
February 6, 2013
Date of Event
January 8, 2011
Report Date
January 8, 2011
Manufacturer
SYNTHES (USA) BRANDYWINE
Product Code
FZX
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

DHR REVIEW PERFORMED: A REVIEW OF THE DEVICE HISTORY RECORD REVEALED NO COMPLAINT RELATED ANOMALIES. DEVICE RECEIVED WITH SIGNIFICANT SCRATCHES ON TOP NEAR THE BORE AND SIGNIFICANT DENTS AND SCRATCHING AT THE NOTCH. THE TANG IS ALSO DENTED AND SCRATCHED. DEVICE PASSED CURRENT FUNCTIONAL TEST WITH MEASURES HOLE SIZES PERPENDICULARITY AND POSITION. ALLEGED ISSUE NOT CONFIRMED.

Description of Event or Problem · 1

IT WAS REPORTED DURING A TFN PROCEDURE, THERE WAS A MISALIGNMENT ISSUE. THE LOCKING SCREW WAS NOT LINING UP. THE JIG WAS REMOVED TO COMPLETE THE SURGERY FREE HAND. SURGERY TIME WAS EXTENDED LESS THAN ONE HOUR. THIS IS 8 OF 10 REPORTS FOR THE SAME EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
50749 INSERTION HANDLE F/TROCHANTERIC FIXATION NAILS FZX SYNTHES (USA) BRANDYWINE 4826349

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention