FDA Adverse Event
Injury
Summary report: N
SCREW LOCKING
MDR report key: 2962952
·
Received February 15, 2013
Report
- Report Number
- 2520274-2013-00960
- Event Type
- Injury
- Date Received
- February 15, 2013
- Report Date
- January 18, 2013
- Manufacturer
- SYNTHES (USA)
- Product Code
- HWC
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MD
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
DEVICE USED FOR TREATMENT AND NOT DIAGNOSIS. IMPLANTED APPROXIMATELY (B)(6) 2011. 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.
Description of Event or Problem · 1
PATIENT WAS IMPLANTED WITH IM NAIL FOR A TIBIAL SHAFT FRACTURE APPROXIMATELY (B)(6) 2011, EIGHTEEN MONTHS AGO. PATIENT WAS RETURNED TO THE OR ON (B)(6) 2013, ALL HARDWARE WAS REMOVED DUE TO SUSPECTED UNSPECIFIED INFECTION. PATIENT WAS TREATED WITH ANTIBIOTICS. NO FURTHER INFORMATION WAS AVAILABLE. THIS IS 5 OF 6 REPORTS FOR THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 68696 | SCREW LOCKING | HWC | SYNTHES (USA) |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 34 YR | Required Intervention |