FDA Adverse Event Injury Summary report: N

STANDARD IM NAIL

MDR report key: 3800248 · Received April 30, 2014

Report

Report Number
3034525-2014-00026
Event Type
Injury
Date Received
April 30, 2014
Date of Event
April 22, 2014
Report Date
April 29, 2014
Manufacturer
SIGN FRACTURE CARE INTERNATIONAL
Product Code
HSB
PMA / PMN Number
K022632
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

REVIEWED SURGEONS DATABASE REPORT WHICH STATED THAT FOLLOW UP ON A PATIENT AFTER FIVE YEARS FOUND A NON-UNION OF A FRACTURE WITH A BROKEN IM NAIL. THE SURGEON PERFORMED AN EXCHANGE NAIL PROCEDURE TO REPAIR THE FRACTURE AND REPLACE THE NAIL. REVIEW OF THE PATIENT X-RAYS CONFIRMS THE NON-UNION, THE BROKEN NAIL AT THE NON-UNION SITE AND THE NEW IM NAIL WHICH WAS IMPLANTED. NO INDICATION OF PRODUCT DEFECT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
258334 STANDARD IM NAIL INTRAMEDULLARY ROD HSB SIGN FRACTURE CARE INTERNATIONAL STANDARD IM NAIL UNK

Patients

Seq Age Sex Outcome Treatment
1 22 YR Hospitalization