FDA Adverse Event Malfunction Summary report: N

2520274-2013-02351

MDR report key: 3093284 · Received May 6, 2013

Report

Report Number
2520274-2013-02351
Event Type
Malfunction
Date Received
May 6, 2013
Date of Event
April 2, 2013
Report Date
April 8, 2013
Manufacturer
SYNTHES USA
Product Code
HRS
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. 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.

Description of Event or Problem · 1

DEVICE REPORT FROM SYNTHES (B)(6) REPORTS AN EVENT IN (B)(6) AS FOLLOWS: DURING DISTAL RADIUS FRACTURE SURGERY ON (B)(6) 2013, THE SURGEON REDUCED THE FRACTURE AND PLACED K-WIRE FIXATION. AFTER THE SURGEON REPOSITIONED AND IMPLANTED THE PLATE, THE SURGEON CHOSE FIX MODE IN A POSITIONING HOLE. HE THEN INSERTED AND LOCKED THE SCREWS IN EACH HOLE. REPORTEDLY WHEN HE WAS INSERTING AND LOCKING THE SCREW IN THE DISTAL HOLE IN THE DISTAL ROW, MOST ULNA HOLE, THE SCREW PENETRATED THROUGH THE HOLE. THE SURGEON THEN REPLACED THE PLATE WITH A NEW PLATE AND COMPLETED THE PROCEDURE. IT WAS REPORTED THE SURGEON COMPLETED THE SURGERY USING THE GLOBAL TECHNICAL PROCEDURE, HE CHOSE FIXED MODE AND DID USE A TORQUE LIMITER (0.8NM) IN LOCK. NO FURTHER INFORMATION WAS PROVIDED. THIS REPORT IS FOR AN UNKNOWN PLATE. THIS IS 4 OF 4 REPORTS FOR THE SAME EVENT, COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
195887 HRS SYNTHES USA

Patients

Seq Age Sex Outcome Treatment
1