FDA Adverse Event Malfunction Summary report: N

LONG NAIL KIT R1.5, TI, RIGHT GAMMA3 Ø10X340MM X 125°

MDR report key: 2990066 · Received March 5, 2013

Report

Report Number
0009610622-2013-00090
Event Type
Malfunction
Date Received
March 5, 2013
Date of Event
February 7, 2013
Report Date
February 7, 2013
Manufacturer
STRYKER OSTEOSYNTHESIS-KIEL
Product Code
HSB
PMA / PMN Number
K034002
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: EVALUATION REVEALED THAT THE NAIL DID NOT CONTRIBUTE TO THE COMPLAINED EVENT, THEREFORE IT WAS CLASSIFIED AS CONCOMITANT ITEM.

Additional Manufacturer Narrative · 1

ONCE THE INVESTIGATION HAS BEEN COMPLETED ANY ADDITIONAL INFORMATION WILL BE REPORTED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

IT WAS REPORTED THAT GAMMA NAIL WAS USED TO TREAT PATIENTS HIP FX. AT THE CONCLUSION OF THE CASE AFTER TAKING FINAL X-RAYS, THE TARGETER WOULD NOT DISENGAGE FROM THE GAMMA NAIL. AS A RESULT, WE HAD TO REMOVE THE NAIL FROM THE PATIENT AND INSERT A NEW GAMMA NAIL INSTEAD. THE OUTCOME WAS SATISFACTORY AND DIDN'T COMPROMISE THE PATIENT IN THE O.R.

Description of Event or Problem · 1

IT WAS REPORTED THAT GAMMA NAIL WAS USED TO TREAT PATIENTS HIP FX. AT THE CONCLUSION OF THE CASE AFTER TAKING FINAL X-RAYS, THE TARGETER WOULD NOT DISENGAGE FROM THE GAMMA NAIL. AS A RESULT, WE HAD TO REMOVE THE NAIL FROM THE PATIENT AND INSERT A NEW GAMMA NAIL INSTEAD. THE OUTCOME WAS SATISFACTORY AND DIDN'T COMPROMISE THE PATIENT IN THE OR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
93131 LONG NAIL KIT R1.5, TI, RIGHT GAMMA3 Ø10X340MM X 125° IMPLANT HSB STRYKER OSTEOSYNTHESIS-KIEL K225057

Patients

Seq Age Sex Outcome Treatment
1 Other