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 |