FDA Adverse Event Injury Summary report: N

INTRAMEDULLARY ARTHRODESIS IMPLANT SMART TOE II 16MM / 0° ANGLE FOR PIP ARTHROD

MDR report key: 3092553 · Received May 3, 2013

Report

Report Number
0008031020-2013-00134
Event Type
Injury
Date Received
May 3, 2013
Date of Event
April 10, 2013
Report Date
April 10, 2013
Manufacturer
STRYKER OSTEOSYNTHESIS-SELZACH
Product Code
HTY
PMA / PMN Number
K112197
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: THE REPORTED EVENT THAT THE DEVICE BROKE COULD BE CONFIRMED SINCE X-RAYS SHOWING A BROKEN SMART TOE WERE PROVIDED. IT WAS REPORTED THE PATIENT FELL DOWN CONDUCTING TO THE BREAKAGE. IT WAS ALSO REPORTED THAT THE PATIENT WAS OBESE ((B)(6)) A REVIEW OF THE DEVICE HISTORY FOR THE REPORTED LOT DID NOT INDICATE ANY ABNORMALITIES. NO CORRECTIVE ACTIONS ARE REQUIRED AT THIS TIME. A REVIEW OF THE LABELING WAS DONE. PLEASE NOTE THAT THE OP TECHNIQUE READS: SMARTTOE IMPLANTS ARE NOT INTENDED FOR IMMEDIATE POSTOPERATIVE WEIGHT BEARING. BE SURE THAT THE POSTOPERATIVE LOADING OF THE INTERNAL FIXATION IS REDUCED TO A MINIMUM (E.G. WITH APPLICATION OF A FOREFOOT OFF-LOADING SHOE) UNTIL BONE CONSOLIDATION IS CONFIRMED. THE CURRENT IFU ALSO READS THAT: FACTORS CAPABLE OF COMPROMISING IMPLANTATION SUCCESS. EXCESS WEIGHT, INTENSE PROFESSIONAL OR SPORTING PHYSICAL ACTIVITY THAT EXPOSES THE IMPLANT TO EXCESSIVE OR REPEATED LOADS. BASED ON THE INVESTIGATION RESULTS THIS CASE COULD BE CLASSIFIED AS USER RELATED. INDICATIONS FOR ANY MATERIAL, MANUFACTURING OR DESIGN RELATED PROBLEMS WERE NOT DETERMINED IN THE INVESTIGATION.

Additional Manufacturer Narrative · 1

DEVICE WILL NOT BE RETURNED FOR EVALUATION. IF THE DEVICE OR ADDITIONAL INFORMATION BECOMES AVAILABLE IT WILL BE REPORTED ON A SUPPLEMENTAL REPORT. DEVICE WILL NOT BE RETURNED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT HAD AN ACCIDENT , FELL AND SNAPPED SMART TOE IMPLANT. PATIENT WAS REVISED. SURGEON REMOVED SMART TOE AND SUTURED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT HAD AN ACCIDENT , FELL AND SNAPPED SMART TOE IMPLANT. PATIENT WAS REVISED. SURGEON REMOVED SMART TOE AND SUTURED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
194943 INTRAMEDULLARY ARTHRODESIS IMPLANT SMART TOE II 16MM / 0° ANGLE FOR PIP ARTHROD IMPLANT HTY STRYKER OSTEOSYNTHESIS-SELZACH F002347PBAL

Patients

Seq Age Sex Outcome Treatment
1 57 YR Required Intervention