FDA Adverse Event Injury Summary report: N

SIGN IM NAIL

MDR report key: 3143110 · Received May 29, 2013

Report

Report Number
3034525-2013-00024
Event Type
Injury
Date Received
May 29, 2013
Date of Event
May 25, 2013
Report Date
May 28, 2013
Manufacturer
SIGN FRACTURE CARE INTERNATIONAL
Product Code
HSB
PMA / PMN Number
K022632
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

REVIEWED SURGICAL DATABASE REPORT OF A BROKEN NAIL. REVIEW SURGEONS REPORT OF A BROKEN I'M NAIL DUE TO A NON-UNION. REVIEWED PATIENT X-RAYS WHICH SHOWED A SIGN NAIL BROKEN AT THE PROXIMAL DISTAL SLOT. IN ADDITION, IT SHOWED A DHS WITH ONE OF THE SCREWS PLACED SO AS TO APPLY PRESSURE AT THE DISTAL END OF THE NAIL. THE NON-UNION ALLOWED THE FRACTURE TO SHIFT AND APPLY MORE STRESS TO THE DISTAL END OF THE NAIL WHICH WAS IMMOVABLE DUE TO THE SCREW HOLDING IT IN PLACE AGAINST THE CORTEX. THE SURGEON PREFORMED AN EXCHANGE NAIL SURGERY TO REMOVE THE DHS, REPAIR THE FRACTURE AND REPLACE THE I'M NAIL. NO INDICATION OF PRODUCT DEFECT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
235955 SIGN IM NAIL INTRAMEDULLARY ROD HSB SIGN FRACTURE CARE INTERNATIONAL SIGN IM NAIL UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 40 YR Hospitalization