FDA Adverse Event Malfunction Summary report: N

UNIV-FEMNAIL Ø13 L360 SST

MDR report key: 3171602 · Received June 15, 2013

Report

Report Number
8030965-2013-03100
Event Type
Malfunction
Date Received
June 15, 2013
Date of Event
October 17, 2011
Report Date
November 22, 2011
Manufacturer
SYNTHES GMBH
Product Code
HSB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SYNTHES IS SUBMITTING THIS REPORT AS A RESULT OF REMEDIATION ACTIVITIES RELATED TO FDA WARNING LETTER DATED FEBRUARY 2012. DEVICE(S) LISTED IN THIS REPORT IS (ARE) USED FOR TREATMENT, NOT DIAGNOSIS. ANY ADDITIONAL INFORMATION RECEIVED REGARDING THIS EVENT AFTER FILING THIS REPORT SHALL BE FILED ON A SUPPLEMENTAL MDR. (B)(6). DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO A DEVICE MARKETED IN THE USA. MANUFACTURING PAPERS SHOWED NO DEVIATIONS REGARDING MATERIAL ANALYSIS, STRENGTH AND STRUCTURAL STABILITY. NAIL IS PARTIALLY BROKEN AT THE STATIC PROXIMAL LOCKING HOLE. THE EXAMINATION OF THE RAW-MATERIAL TESTING CERTIFICATES AND THE MANUFACTURING PAPERS SHOWED NO DEVIATIONS REGARDING MATERIAL ANALYSIS, STRENGTH AND STRUCTURAL STABILITY. THE VALUES WERE IN COMPLIANCE WITH AO ASIF SPECIFICATION AND WITH THE INTERNATIONAL STANDARD ISO 5832-1. THE FRACTURE FACE IS HOMOGENOUS, WHICH INDICATES MATERIAL CONFORMITY. THERE IS EVIDENCE THAT THE MATERIAL NEXT TO THE LOCKING WAS WEAKENED BY THE CONTINUOUS LOADS OVER THE YEARS AND THAT FINALLY FATIGUE OF THE MATERIAL CAUSED THIS BREAKAGE. SYNTHES IS NOT AWARE OF ANY SIMILAR COMPLAINT REGARDING THIS ARTICLE.

Description of Event or Problem · 1

DEVICE REPORT FROM SYNTHES (B)(4) REPORTS AN EVENT IN (B)(6) AS FOLLOWS: A UNIVERSAL FEMORAL NAIL WAS IMPLANTED IN 2003. THE FRACTURE HEALED. DURING THE PLANNED REMOVAL PROCEDURE ON (B)(6) 2011, THE UNIVERSAL FEMORAL NAIL WAS PARTIALLY BROKEN AT THE STATIC PROXIMAL LOCKING HOLE. THIS IS REPORT 1 OF 1 FOR COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
272611 UNIV-FEMNAIL Ø13 L360 SST HSB SYNTHES GMBH 2123

Patients

Seq Age Sex Outcome Treatment
1 34 YR