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 |