FDA Adverse Event Malfunction Summary report: N

SCREW, FIXATION, BONE

MDR report key: 5216455 · Received November 11, 2015

Report

Report Number
2520274-2015-17119
Event Type
Malfunction
Date Received
November 11, 2015
Date of Event
April 14, 2015
Report Date
October 25, 2015
Manufacturer
SYNTHES USA
Product Code
HWC
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. ADDITIONAL NARRATIVE: THIS REPORT IS FOR AN UNKNOWN 7.0 MM FULLY THREADED CANNULATED SCREW/UNKNOWN QUANTITY/UNKNOWN LOT. THE INVESTIGATION COULD NOT BE COMPLETED AND NO CONCLUSION COULD BE DRAWN, AS NO DEVICE WAS RETURNED AND NO LOT NUMBER OR PART NUMBER WAS PROVIDED. ADDITIONAL NARRATIVE: 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 LITERATURE ARTICLE: SULLIVAN, M., SCOLARO, J., MILBY, A. AND MEHTA, S. (2015). ISOLATED PELVIC RING INJURIES: FUNCTIONAL OUTCOMES FOLLOWING PERCUTANEOUS, POSTERIOR FIXATION. EUR J ORTHO SURG TRAUMATOL 25:1025-1030. THE OBJECTIVE OF THIS STUDY WAS TO CHARACTERIZE PELVIC-SPECIFIC FUNCTIONAL OUTCOMES IN PATIENTS WITH PARTIALLY UNSTABLE PELVIC RING INJURIES TREATED WITH POSTERIOR ONLY PERCUTANEOUS SCREW FIXATION OF THE PELVIC RING. BETWEEN (B)(6) 2007 AND (B)(6) 2011, 16 SUBJECTS (13 FEMALES AND 3 MALES) WITH A MEAN AGE OF 42.4 YEARS (RANGE 18-90 YEARS). THE MEAN AGE FOR FEMALE PATIENTS WAS 44.8 YEARS AND 32 YEARS FOR MALE PATIENTS. ELEVEN INJURIES WERE UNILATERAL AND FIVE WERE BILATERAL. THERE WAS ONE REPORT OF A SCREW THAT BREACHED THE ANTERIOR CORTEX OF THE UPPER SACRAL SEGMENT. THIS IS REPORT 1 OF 2 FOR (B)(4). THIS REPORT IS FOR AN UNKNOWN 7.0 MM FULLY THREADED CANNULATED SCREW.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
747235 SCREW, FIXATION, BONE HWC SYNTHES USA

Patients

Seq Age Sex Outcome Treatment
1