FDA Adverse Event Injury Summary report: N

2520274-2013-06212

MDR report key: 3328657 · Received September 6, 2013

Report

Report Number
2520274-2013-06212
Event Type
Injury
Date Received
September 6, 2013
Report Date
August 8, 2013
Manufacturer
SYNTHES, USA
Product Code
HSB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT NOT DIAGNOSIS. THE ARTICLE WAS PRINTED ON JULY 2011 INVESTIGATION COULD NOT BE COMPLETED, NO CONCLUSION COULD BE DRAWN AS NO DEVICE WAS RETURNED AND NO LOT NUMBER WAS PROVIDED.

Description of Event or Problem · 1

JOURNAL ARTICLE RECEIVED: THE PROXIMAL FEMUR NAIL ANTIROTATION: AN IDENTIFIABLE IMPROVEMENT IN THE TREATMENT OF UNSTABLE PERTROCHANTERIC FRACTURES?; GARDENBROEK TJ, SEGERS MJ, SIMMERMACHER RK, HAMMACHER ER.; JOURNAL OF TRAUMA-INJURY INFECTION & CRITICAL CARE. 2011 JUL; 71(1):169-74; REPORTED: A COMPARATIVE STUDY OF THE EFFECTS OF TREATMENT WITH EITHER SYNTHES DEVICES, THE PROXIMAL FEMUR NAIL (PFN) OR THE PROXIMAL FEMUR NAIL ANTIROTATION (PFNA), FOR UNSTABLE TROCHANTERIC FRACTURES. THE PFN GROUP WAS COMPRISED OF 87 PATIENTS WITH A MEAN AGE OF 79.1 YEARS; THE PFNA GROUP WAS COMPRISED OF 70 PATIENTS WITH A MEAN AGE 79.8 YEARS. BOTH GROUPS WERE PREDOMINATELY WOMEN. THE AUTHORS REPORTED RESULTS AS FOLLOWS. POSTOPERATIVE URINARY TRACT INFECTIONS AND PNEUMONIA WERE NOTED IN 47 PATIENTS IN THE PFN GROUP; UNSPECIFIED POSTOPERATIVE SYSTEMIC COMPLICATIONS IN 35 PATIENTS WERE NOTED IN THE PFNA GROUP. IN THE PFN GROUP, FIVE PATIENTS DEVELOPED POSTOPERATIVE LOCAL COMPLICAIONS VERSUS THREE PATIENTS IN THE PFNA GROUP. THE AUTHORS NOTED THESE COMPLICATIONS AS INFECTED HEMATOMA AND WOUND INFECTION NECESSITATING EARLY REOPERATION. IMPLANT RELATED COMPLICATIONS REPORTED AS MIGRATION OR MALPOSITION NECESSITATED EARLY REOPERATION IN THREE PFN PATIENTS AND FOUR PFNA PATIENTS. LATE REOPERATION DUE TO NONUNION OF THE FRACTURE PARTS, DISCOMFORT OR SECONDARY DISLOCATION OF THE FEMORAL HEAD OR NECK IMPLANT WAS REPORTED IN 13 PFN PATIENTS AND THREE PFNA PATIENTS. PRODUCTS REPORTED WERE SYNTHES DEVICES. THIS IS 3 OF 8 REPORTS FOR UNKNOWN PFN PROXIMAL SCREWS FOR COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
442697 HSB SYNTHES, USA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention