FDA Adverse Event Injury Summary report: N

ZZIMMER PIRIFORMAIS FOSSA FEMORAL NAIL

MDR report key: 4092464 · Received September 4, 2014

Report

Report Number
1822565-2014-01076
Event Type
Injury
Date Received
September 4, 2014
Date of Event
August 7, 2014
Report Date
August 8, 2014
Manufacturer
ZIMMER, INC.
Product Code
HSB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

THE SIZE OF NAIL THE SURGEON NEEDED WAS UNAVAILABLE. AS A RESULT, THE SURGEON FELT FORCED TO REAM AN ADDITIONAL 1MM OF BONE FROM THE PT'S FEMUR TO ACCOMMODATE A LARGER NAIL. ADDITIONALLY, THE SURGEON FEELS THE ADDITIONAL REAMING MAY HAVE CONTRIBUTED TO THE PT'S CURRENT PULMONARY DISTRESS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
542164 ZZIMMER PIRIFORMAIS FOSSA FEMORAL NAIL HSB ZIMMER, INC.

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention UNK ZIMMER NAIL, CAT #UNK, LOT #UNK