FDA Adverse Event Injury Summary report: N

2520274-2014-00675

MDR report key: 3635299 · Received February 19, 2014

Report

Report Number
2520274-2014-00675
Event Type
Injury
Date Received
February 19, 2014
Report Date
January 24, 2014
Manufacturer
SYNTHES USA
Product Code
HSB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

DEVICE IS USED FOR TREATMENT, NOT DIAGNOSIS EVENT DATE: CLINICAL ORTHOPEDICS AND RELATED RESEARCH (2013) (B)(6). DEVICE IS AN UNKNOWN PFN-A NAIL, QUANTITY 1. DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO A DEVICE MARKETED IN THE USA. INVESTIGATION COULD NOT BE COMPLETED, NO CONCLUSION COULD BE DRAWN AS NO DEVICE WAS RETURNED AND NO LOT NUMBER WAS PROVIDED. MANUFACTURING RECORDS COULD NOT BE REVIEWED WITHOUT A LOT NUMBER. PLACEHOLDER.

Description of Event or Problem · 1

JOURNAL ARTICLE RECEIVED: WHICH IMPLANT IS BETTER FOR TREATING REVERSE OBLIQUITY FRACTURES OF THE PROXIMAL FEMUR: A STANDARD OR LONG NAIL? GUVENIR OKCU MD, NADIR OZKAYIN MD, CEMIL OKTA MD, ISMET TOPCU MD, KEMAL AKTUGLU MD; CLINICAL ORTHOPEDICS AND RELATED RESEARCH (2013) 471:2768¿2775; REPORTED: A PILOT PROSPECTIVE RANDOMIZED CONTROLLED TRIAL THAT COMPARED THE EFFECTS OF STANDARD VERSUS LONG INTRAMEDULLARY HIP NAILS, SYNTHES DEVICES PROXIMAL FEMORAL NAIL-ANTIROTATION (PFN-A), FOR THE TREATMENT OF REVERSE OBLIQUITY FRACTURES OF THE PROXIMAL FEMUR. PATIENTS WERE RANDOMIZED INTO TWO GROUPS; 18 PATIENTS (GROUP 1) WERE TREATED WITH A 130 DEGREE STANDARD PFN-A WHICH WAS 24 CM IN LENGTH AND 22 PATIENTS (GROUP 2) WERE TREATED WITH A 130 DEGREES LONG PFN-A IN VARIABLE LENGTHS RANGING FROM 34 TO 42 CM. THE MEAN PATIENT AGE WAS (B)(6) YEARS. IT WAS NOTED THAT THREE PATIENTS IN GROUP 1 AND FOUR IN GROUP 2 SUBSEQUENTLY DIED (DATE AND CAUSE UNSPECIFIED). AVERAGE FOLLOW-UP RANGE FOR GROUP 1 AND 2 WAS 14 MONTHS AND 14.5 MONTHS RESPECTIVELY. IN GROUP 2, A (B)(6) YEAR OLD WOMAN WITH A REVERSE OBLIQUITY FRACTURE OF THE TROCHANTERIC REGION OF THE FEMUR WAS REVISED AFTER SHE HAD EXPERIENCED PERFORATION OF THE JOINT WITH THE HELICAL BLADE AFTER FIVE MONTHS. X-RAYS WERE PROVIDED. THE PATIENT WAS SUBSEQUENTLY REVISED. THE AUTHORS CONCLUDED THAT LONG PFN-A NAILS OFFERED NO CLINICAL ADVANTAGE COMPARED TO STANDARD PFN-A NAILS FOR THE TREATMENT OF REVERSE OBLIQUITY FRACTURES OF THE PROXIMAL FEMUR. THIS REPORT IS FOR AN UNKNOWN PFN-A NAIL. THIS IS REPORT 1 OF 4 FOR COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
105028 HSB SYNTHES USA

Patients

Seq Age Sex Outcome Treatment
1 74 YR Required Intervention