FDA Adverse Event Injury Summary report: N

FEMORAL NAIL, A/R S2 Ø10X360 MM

MDR report key: 3161263 · Received June 11, 2013

Report

Report Number
0009610622-2013-00321
Event Type
Injury
Date Received
June 11, 2013
Date of Event
January 21, 2013
Report Date
May 17, 2013
Manufacturer
STRYKER OSTEOSYNTHESIS-KIEL
Product Code
HSB
PMA / PMN Number
K032579
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHARMACIST

Narratives

Additional Manufacturer Narrative · 1

ONCE THE INVESTIGATION HAS BEEN COMPLETED, ANY ADDITIONAL INFORMATION WILL BE REPORTED IN A SUPPLEMENTAL REPORT.

Additional Manufacturer Narrative · 1

EVALUATION CONCLUSION: EVALUATION REVEALED THE S2 FEMORAL NAIL TO BE THE PRIMARY PRODUCT. ALL OTHER MENTIONED PRODUCTS ARE REGARDED TO BE CONCOMITANT ITEMS. THE RETURNED DEVICE MATCHED THE REPORT, AND THE INCIDENT WAS CONFIRMED. INVESTIGATION REVEALED NO DISCREPANCIES IN MATERIAL OF MANUFACTURING. FROM TECHNICAL POINT OF VIEW THE NAIL BROKE IN A FATIGUE MANNER MOST LIKELY CAUSED BY PERMANENT OVERLOAD MAINLY ORIGINATED BY BENDING, AXIAL AND TORSIONAL STRESSES. A STATEMENT FROM A MEDICAL POINT OF VIEW IS NOT POSSIBLE AS NO MEDIAL DATA WAS AVAILABLE.

Description of Event or Problem · 1

THE PHARMACIST, REPORTED THE FOLLOWING: " FEMORAL NAIL BROKE. A SURGERY WAS PLANNED TO REMOVE IT".

Description of Event or Problem · 1

THE PHARMACIST, REPORTED THE FOLLOWING: " FEMORAL NAIL BROKE. A SURGERY WAS PLANNED TO REMOVE IT."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
262189 FEMORAL NAIL, A/R S2 Ø10X360 MM IMPLANT HSB STRYKER OSTEOSYNTHESIS-KIEL K885306

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention