FDA Adverse Event Injury Summary report: N

2520274-2013-01356

MDR report key: 2993837 · Received March 8, 2013

Report

Report Number
2520274-2013-01356
Event Type
Injury
Date Received
March 8, 2013
Report Date
February 11, 2013
Manufacturer
SYNTHES USA
Product Code
LRN
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. DEVICE WAS USED FOR A VETERINARY PROCEDURE. ADDITIONAL NARRATIVE: DEVICE WAS USED AS A VETERINARY PRODUCT. DEVICE IS MARKETED FOR HUMAN USE. HEALTH PROFESSIONAL IS VETERINARY PERSONNEL. SUBJECT DEVICE HAS BEEN RECEIVED AND IS CURRENTLY IN THE EVALUATION PROCESS. INVESTIGATION IS ON GOING; NO CONCLUSION COULD BE DRAWN. WITHOUT A LOT NUMBER, THE DEVICE HISTORY RECORDS REVIEW COULD NOT BE COMPLETED.

Additional Manufacturer Narrative · 1

THIS DEVICE USED FOR TREATMENT AND NOT DIAGNOSIS. NO PRODUCT FAULT COULD BE DETECTED. NEITHER THE ARTICLE- NOR THE LOT NUMBER OF THE SCREW AND THE WIRE WERE PROVIDED AND BASED ON THE OTHER RECEIVED INFORMATION IT IS IMPOSSIBLE TO DETERMINE THE CAUSE OF THIS OCCURRENCE. WE CAN ONLY ASSUME THAT ANY EVENT DURING THE HEALING PROCESS, LIKE A FALL OR A JUMP, CAUSED THE BREAKAGE OF THE SCREW AND THE DEFORMATION OF THE WIRE.

Description of Event or Problem · 1

DEVICE REPORT FROM SYNTHES EUROPE REPORTS AN EVENT IN (B)(6) AS FOLLOWS: A DOG WAS IMPLANTED WITH CORTEX SCREW AND K-WIRE FOR A CONDYLE HUMERAL FRACTURE ON (B)(6) 2012. IT WAS REPORTED THE SCREW BROKE AND THE WIRE BENT POST-OPERATIVELY. THE DOG WAS RETURNED TO THE O.R. ON (B)(6) 2013 FOR REMOVAL OF HARDWARE. THE DOG WAS REVISED WITH PLATE AND SCREW CONSTRUCT. THIS REPORT IS FOR THE UNKNOWN 1.6MM K-WIRE. THIS IS 2 OF 2 REPORTS FOR THE SAME EVENT.

Description of Event or Problem · 1

THIS IS 2 OF 2 REPORTS FOR COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
98881 LRN SYNTHES USA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention