FDA Adverse Event Malfunction Summary report: N

NAIL, FIAXATION, BONE

MDR report key: 3884926 · Received June 19, 2014

Report

Report Number
2520274-2014-12022
Event Type
Malfunction
Date Received
June 19, 2014
Date of Event
May 22, 2014
Report Date
May 22, 2014
Manufacturer
SYNTHES USA
Product Code
JDS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THIS DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. THIS REPORT IS FOR ONE UNKNOWN NAIL. INVESTIGATION COULD NOT BE COMPLETED, NO CONCLUSION COULD BE DRAWN AS NO DEVICE WAS RETURNED AND NO LOT NUMBER WAS PROVIDED. MANUFACTURING RECORDS COULD NOT BE REVIEWED WITHOUT A LOT NUMBER. 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 THAT DURING A TROCHANTERIC FIXATION NAIL PROCEDURE, THERE WAS A MALFUNCTION WITH A TROCHANTERIC FIXATION NAIL AND BLADE. THE BLADE WOULD NOT ADVANCE ALL THE WAY WHICH CAUSED A 5 MINUTE DELAY. THE SURGEON HAD TO BACK OUT THE LOCKING MECHANISM ON THE NAIL TO RESOLVE THE ISSUE. THIS REPORT IS FOR ONE UNKNOWN NAIL. THIS IS REPORT 1 OF 2 FOR (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
359934 NAIL, FIAXATION, BONE JDS SYNTHES USA

Patients

Seq Age Sex Outcome Treatment
1