FDA Adverse Event Malfunction Summary report: N

ROD,FIXATION,INTRAMEDULLARY

MDR report key: 3883571 · Received June 19, 2014

Report

Report Number
2520274-2014-11947
Event Type
Malfunction
Date Received
June 19, 2014
Date of Event
May 22, 2014
Report Date
May 22, 2014
Manufacturer
SYNTHES USA
Product Code
HSB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4): THIS REPORT IS FOR ONE UNKNOWN HELICAL BLADE/UNKNOWN LOT.DEVICE HAS NOT BEEN EXPLANTED.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.DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS.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

IT WAS REPORTED A MALFUNCTION OCCURRED WITH A TROCHANTERIC FIXATION NAIL BLADE DURING SURGERY. IT WAS REPORTED THE BLADE WOULD NOT ADVANCE ALL THE WAY. THE SURGEON BACKED OUT THE LOCKING MECHANISM ON THE NAIL AND THE ISSUE WAS RESOLVED. THERE WAS REPORTEDLY A THREE TO FIVE MINUTE DELAY IN THE PROCEDURE.THIS REPORT IS FOR ONE HELICAL BLADE. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
360131 ROD,FIXATION,INTRAMEDULLARY HSB SYNTHES USA

Patients

Seq Age Sex Outcome Treatment
1