FDA Adverse Event Malfunction Summary report: N

PLATE, FIXATION, BONE

MDR report key: 3883102 · Received June 19, 2014

Report

Report Number
2520274-2014-11972
Event Type
Malfunction
Date Received
June 19, 2014
Report Date
June 4, 2014
Manufacturer
SYNTHES (USA)
Product Code
HRS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

THIS DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. T. SAITO, T., KUMAGAI, K., AKAMATSU, Y., KOBAYASHI, H., AND KUSAYAMA, Y. (2014, MARCH). FIVE- TO TEN-YEAR OUTCOME FOLLOWING MEDIAL OPENING-WEDGE HIGH TIBIAL OSTEOTOMY WITH RIGID PLATE FIXATION IN COMBINATION WITH AN ARTIFICIAL BONE SUBSTITUTE. BONE JOINT J, 96-B, 339¿44. THIS REPORT IS FOR AN UNKNOWN TOMOFIX SYSTEM. WITHOUT A LOT NUMBER, THE DEVICE HISTORY RECORDS REVIEW COULD NOT BE COMPLETED. THE INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN, AS NO PRODUCT WAS RECEIVED. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

THIS REPORT IS BEING FILED AFTER THE SUBSEQUENT REVIEW OF THE FOLLOWING JOURNAL ARTICLE, T. SAITO, T., KUMAGAI, K., AKAMATSU, Y., KOBAYASHI, H., AND KUSAYAMA, Y. (2014, MARCH). FIVE- TO TEN-YEAR OUTCOME FOLLOWING MEDIAL OPENING-WEDGE HIGH TIBIAL OSTEOTOMY WITH RIGID PLATE FIXATION IN COMBINATION WITH AN ARTIFICIAL BONE SUBSTITUTE. BONE JOINT J, 96-B, 339¿44. THE AUTHORS CONDUCTED A RETROSPECTIVE REVIEW OF CONSECUTIVE PATIENTS WITH EITHER MEDIAL COMPARTMENTAL OSTEOARTHRITIS (OA) - 65 KNEES IN 45 PATIENTS - OR SPONTANEOUS OSTEONECROSIS OF THE KNEE - 34 KNEES IN 34 PATIENTS - WHO UNDERWENT MEDIAL OPENING-WEDGE HIGH TIBIAL OSTEOTOMY BETWEEN 2003 AND 2007 WITH STABLE PLATE FIXATION, SYNTHES DEVICE TOMOFIX PLATE AND SCREWS AND AN ARTIFICIAL BONE SUBSTITUTE. OF THE INITIAL 77 PATIENTS (59 WOMEN, 18 MEN; MEDIAN AGE 69 YEARS), AFTER EXCLUSIONS THERE WERE 20 MEN AND 44 WOMEN (78 KNEES) AVAILABLE FOR REVIEW AT A MINIMUM OF FIVE YEARS. THE MEAN LENGTH OF FOLLOW-UP WAS 6.5 YEARS (FIVE TO TEN YEARS). ONE PATIENT WITH PERSISTENT SYMPTOMS AND UNDER-CORRECTION OF A VARUS DEFORMITY UNDERWENT UNICOMPARTMENTAL ARTHROPLASTY TWO YEARS POST-OPERATIVELY. THERE WAS ONE CASE OF DELAYED UNION, ONE OF INTRA-ARTICULAR FRACTURE OF THE LATERAL TIBIAL PLATEAU, AND ONE OF FRACTURE OF THE LATERAL TIBIAL CORTEX; THERE WERE NO CASES THAT REQUIRED ADDITIONAL SURGICAL TREATMENT. THIS IS A REPORTABLE MALFUNCTION REPORT INVOLVING ONE CASE OF DELAYED UNION; ADDITIONAL SURGICAL TREATMENT WAS NOT REQUIRED. THIS REPORT IS FOR AN UNKNOWN TOMOFIX SYSTEM. THIS IS REPORT 2 OF 2 FOR COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
360200 PLATE, FIXATION, BONE HRS SYNTHES (USA)

Patients

Seq Age Sex Outcome Treatment
1