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