FDA Adverse Event Malfunction Summary report: N

TRANSPEDSCHANZSCR Ø6.2 L190/45 TAN DBLUE

MDR report key: 3010178 · Received March 19, 2013

Report

Report Number
8030965-2013-00961
Event Type
Malfunction
Date Received
March 19, 2013
Report Date
February 21, 2013
Manufacturer
SYNTHES GMBH
Product Code
MNI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. ADDITIONAL PRODUCT CODES: KWP, KWQ, MNH. PMA 510K#: DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO DEVICE MARKETED IN THE USA. SUBJECT DEVICE HAS BEEN RECEIVED AND IS CURRENTLY IN THE EVALUATION PROCESS. INVESTIGATION IS ON GOING; NO CONCLUSION COULD BE DRAWN. THE MANUFACTURING DOCUMENTS WERE REVIEWED AND NO COMPLAINT RELATED ISSUES WERE FOUND.

Description of Event or Problem · 1

DEVICE REPORT FROM SYNTHES (B)(6) REPORTS AN EVENT IN (B)(6) AS FOLLOWS: DURING A PROCEDURE, TWO SCHANZ SCREW WOULD NOT ADVANCE THROUGH THE FRACTURE CLAMP. REPORTEDLY THE SCHANZ SCREWS COULD NOT BE USED DURING THE OPERATION. ANOTHER SCREW WAS AVAILABLE FOR USE. IT WAS REPORTED THERE WAS NO PATIENT IMPACT AND THE SURGERY WAS NOT DELAYED DUE TO THIS OCCURRENCE. THE EVENT DID NOT REQUIRE ADDITIONAL MEDICAL TREATMENT. THIS REPORT IS FOR TWO SCHANZ SCREWS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
114891 TRANSPEDSCHANZSCR Ø6.2 L190/45 TAN DBLUE MNI SYNTHES GMBH 8123409

Patients

Seq Age Sex Outcome Treatment
1