FDA Adverse Event
Malfunction
Summary report: N
BOLD
MDR report key: 444259
·
Received February 19, 2003
Report
- Report Number
- 9615741-2003-00001
- Event Type
- Malfunction
- Date Received
- February 19, 2003
- Date of Event
- January 16, 2003
- Report Date
- February 19, 2003
- Manufacturer
- NEWDEAL SA
- Product Code
- HWC
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
DURING A FOREFOOT SURGERY (SCARF TYPE PROCEDURE), THE BOLD SCREW INITIALLY CHOSEN BY THE SURGEON AND IMPLANTED WAS TOO LONG. WHEN THE SURGEON DECIDED TO REMOVE IT AND HAVE IT REPLACED BY A SMALLER, THE IMPRINTS IN THE SCREW HEAD SEEMED TO FAIL AND THE SCREWDRIVER COULD NO LONGER DRIVE THE SCREW OUT OF THE BONE. THE SURGEON DECIDED TO LEAVE THE SCREW IN PLACE, BUT TO CUT THE PROTRUDING TIP OF THE SCREW, THAT COULD HAVE LED TO IMPINGEMENT IN THE JOINT. THIS CUTTNG OF THE SCREW LED TO INCREASE IN THE SURGERY TIME, AND MIGHT HAVE LED TO METALLIC DEBRIS IN THE JOINT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BOLD | COMPRESSION SCREW | HWC | NEWDEAL SA | BOLD R COMPRESSION SCREW | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Other |