FDA Adverse Event Injury Summary report: N

14MM UNIVERSAL FEMORAL

MDR report key: 376691 · Received February 15, 2002

Report

Report Number
1719045-2002-00013
Event Type
Injury
Date Received
February 15, 2002
Date of Event
April 5, 2001
Report Date
January 11, 2002
Manufacturer
SYNTHES (USA)
Product Code
JDS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

A NAIL, IMPLANTED IN 1996 DURING REVISION OF 18 MONTH ATROPHIC NON-UNION, BROKE POST OPERATIVE. NAIL WAS NOTED BROKEN 4 YEARS AFTER IMPLANTATION. BROKEN NAIL WAS REMOVED, WAS NOT REVISED.

Description of Event or Problem · 1

SUBJECT NAIL WAS IMPLANTED FOR A CLOSED COMMINUTED FEMORAL SHAFT FRACTURE OF THE RIGHT FEMUR ON 7/25/1996. PT UNDERWENT REVISION SURGERY ON 10/14/1996 TO ADD ILIAC CREST BONE GRAFT AND SUBJECT NAIL WAS LEFT IN PLACE. X-RAYS TAKEN ON 12/7/1998 SHOWED COMPLETE UNION OF FEMORAL FRACTURE AND ALL HARDWARE IN TACT AND WITHOUT FRACTURE. ON 2/12/2001 SURGEON SUGGESTED PT HAVE THE NAIL REMOVED. DURING REMOVAL ON 4/4/01 OR 4/5/2001 THE NAIL WAS NOTED TO BE BROKEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 14MM UNIVERSAL FEMORAL UNIVERSAL NAILS JDS SYNTHES (USA) NA 2056

Patients

Seq Age Sex Outcome Treatment
1 30 YR Required Intervention LOCKING BOLTS.