FDA Adverse Event Malfunction Summary report: N

AIM-ARM F/A2FN

MDR report key: 3080723 · Received April 26, 2013

Report

Report Number
2520274-2013-02172
Event Type
Malfunction
Date Received
April 26, 2013
Date of Event
March 26, 2013
Report Date
March 28, 2013
Manufacturer
SYNTHES USA
Product Code
JDS
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. DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO DEVICE MARKETED IN THE USA. 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. PLACEHOLDER.

Description of Event or Problem · 1

DEVICE REPORT FROM SYNTHES (B)(4) REPORTS AN EVENT IN (B)(6) AS FOLLOWS: DURING A SURGERY, A NAIL WAS BEING INSERTED USING RECON SCREWS. THE DISTAL GUIDE WIRE WAS INSERTED FIRST. IT WAS SITTING OFF CENTER IN THE HOLE OF THE NAIL. THE PROXIMAL GUIDE WIRE MISSED THE NAIL COMPLETELY. THE SURGEON USED THE REAMER TO DRILL THE NAIL. THE RECON SCREWS WERE NOT SITTING PARALLEL TO EACH OTHER. THIS IS REPORT 2 OF 4 FOR COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
182583 AIM-ARM F/A2FN JDS SYNTHES USA

Patients

Seq Age Sex Outcome Treatment
1