FDA Adverse Event Malfunction Summary report: N

INSERTER FOR TI ELASTIC NAILS

MDR report key: 3033210 · Received April 3, 2013

Report

Report Number
8030965-2013-10649
Event Type
Malfunction
Date Received
April 3, 2013
Date of Event
April 26, 2012
Report Date
April 30, 2012
Manufacturer
SYNTHES GMBH
Product Code
LXH
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

SYNTHES IS SUBMITTING THIS REPORT AS A RESULT OF REMEDIATION ACTIVITIES RELATED TO FDA WARNING LETTER DATED FEBRUARY 2012. DEVICE(S) LISTED IN THIS REPORT IS (ARE) USED FOR TREATMENT, NOT DIAGNOSIS. ANY ADDITIONAL INFORMATION RECEIVED REGARDING THIS EVENT AFTER FILING THIS REPORT SHALL BE FILED ON A SUPPLEMENTAL MDR. A REVIEW OF THE DEVICE HISTORY RECORDS WAS PERFORMED AND NO COMPLAINT RELATED ISSUES WERE FOUND. THE DEVICE WAS RETURNED FOR A MANUFACTURING EVALUATION AND IT SHOWED MARKS OF FORCIBLE AND INADEQUATE USE. HAMMER BLOWS WERE VISIBLE. THE BROKEN T-HANDLE BAR WAS MISSING. IT WAS DETERMINED THAT THE DEVICE GOT DAMAGED DURING MISHANDLING AND FORCIBLE USE. THIS COMPLAINT IS DEEMED INDETERMINATE FROM A MANUFACTURING STANDPOINT.

Additional Manufacturer Narrative · 1

SYNTHES IS SUBMITTING THIS REPORT AS A RESULT OF REMEDIATION ACTIVITIES RELATED TO FDA WARNING LETTER DATED FEBRUARY 2012. DEVICE(S) LISTED IN THIS REPORT IS (ARE) USED FOR TREATMENT, NOT DIAGNOSIS. ANY ADDITIONAL INFORMATION RECEIVED REGARDING THIS EVENT AFTER FILING THIS REPORT SHALL BE FILED ON A SUPPLEMENTAL MDR.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING THE OPEN REDUCTION INTERNAL FIXATION OF A RADIUS PROCEDURE, THE SURGEON WAS MALLETING THE NAIL INTO THE BONE CANAL OF THE RADIUS AND THE INSERTER FOR THE TI ELASTIC NAILS BROKE. THE INSERTER WOULD NOT TIGHTEN. THE SURGEON WAS ABLE TO USE THE SECOND SET OF INSTRUMENTS TO COMPLETE THE PROCEDURE WITH NO FURTHER PROBLEMS. NO ADVERSE EFFECT TO THE PATIENT.

Description of Event or Problem · 1

THIS IS REPORT 1 OF 1 FOR FILE (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
135830 INSERTER FOR TI ELASTIC NAILS LXH SYNTHES GMBH 3325276

Patients

Seq Age Sex Outcome Treatment
1