FDA Adverse Event Injury Summary report: N

10MM/130 DEG TI CANN TROCH FIXATION NAIL 235MM ¿ STERILE

MDR report key: 5871907 · Received August 12, 2016

Report

Report Number
2520274-2016-14060
Event Type
Injury
Date Received
August 12, 2016
Report Date
July 25, 2016
Manufacturer
SYNTHES MONUMENT
Product Code
HSB
PMA / PMN Number
K011857
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. MAUDE-MEDWATCH REPORT# 5063417 REPORTED ON 7/12/2016. DATE OF EVENT: UNKNOWN. THIS REPORT IS FOR ONE (1) UNKNOWN TNS NAIL. UDI#: UNKNOWN PART NUMBER, UDI IS UNAVAILABLE. (B)(4). PMA #: 510: THIS REPORT IS FOR ONE (1) UNKNOWN TNS NAIL. 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. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 1

(B)(4) LOSS OF FEELING IN THE FOOT. PATIENT NOTED THAT THE SOLE AND THE LAST THREE TOES HAVE LOST SENSATION. DEVICE HISTORY RECORD REVIEW: MANUFACTURING LOCATION: (B)(4) - MANUFACTURING DATE: JANUARY 27, 2011 - EXPIRATION DATE: DECEMBER 31, 2019. NO NON-CONFORMANCE REPORTS WERE GENERATED DURING PRODUCTION. REVIEW OF THE DEVICE HISTORY RECORD(S) SHOWED THAT THERE WERE NO ISSUES DURING THE MANUFACTURE OF THE PRODUCT THAT WOULD CONTRIBUTE TO THIS COMPLAINT CONDITION. THE STERILITY DOCUMENTATION WAS REVIEWED AND DETERMINED TO BE CONFORMING. (B)(4). DEVICE 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.

Additional Manufacturer Narrative · 1

ADDITIONAL NARRATIVE: DATE OF EVENT: UPDATED INFORMATION. RELEVANT TESTS/LAB DATA: UPDATED INFORMATION. BILATERAL KNEE REPLACEMENT SURGERY ON A DATE UNKNOWN. DEVICE 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.

Additional Manufacturer Narrative · 1

DEVICE HAS NOT BEEN EXPLANTED. 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

MAUDE-MEDWATCH REPORT# 5063417: IT WAS REPORTED THAT THE PATIENT HAD A FALL ON AN UNKNOWN DATE IN 2011 WHICH RESULTED IN A BROKEN FEMUR INJURY. ON (B)(6) 2011 THE SURGEON IMPLANTED A SYNTHES TNS NAIL INTO THE PATIENT'S FEMUR AND HIP. WITHIN A FEW MONTHS THE PATIENT WENT TO DOCTOR AND TOLD HIM SOMETHING WAS WRONG WITH THE DEVICE AND THAT SHE WANTED IT REMOVED. THE PATIENT TRIED CONTACTING SEVERAL DOCTORS, TO GET THEM TO REMOVE THE IMPLANT, SHE WAS TOLD IF THEY REMOVE THE IMPLANT AND IF HER LEG RE-BREAKS THE IMPLANT WILL HAVE TO BE PUT BACK IN AND THAT SHE WOULD BE WORSE OFF, OR SO SHE THOUGHT. IN THE LAST FIVE YEARS THE LEG HAS GOTTEN SO BAD THAT IT IS CRIPPLING HER. SHE CAN FEEL THE ROD IN HER HIP WHEN SHE MOVES AND IT DIGS INTO THE PIRIFORMIS AND IT FEELS LIKE RAW MEAT. THE PATIENT CAN ALSO FEEL THE SCREW FROM THE ROD IN HER FEMUR DIGGING INTO HER MUSCLE. THE MUSCLES ARE AGONIZING, WITH A LEVEL 10 FOR PAIN AND FOR 24/7. THE PATIENT CAN BARELY WALK ANYMORE AND THE PAIN IS UNBEARABLE. IT IS PRESSING ON THE PATIENT'S SCIATIC NERVE AND IS NOW AFFECTING BOTH LEGS, HER LEFT LEG IS WORSE. THE PATIENT CANNOT BEND OVER TO EVEN PICK SOMETHING UP OFF THE FLOOR WITHOUT SCREAMING PAIN. SHE IS AFRAID TO GO DOWN FOUR STEPS TO GET OFF HER PORCH FOR FEAR OF AN UNIMAGINABLE PAIN AND THAT SHE MAY NOT BE ABLE TO GET BACK UP THE STEPS. SHE CANNOT LIFT HER FEET/LEGS UP TO PUT HERSELF IN BED WITHOUT SCREAMING. THE PATIENT STATES THAT SHE CRIES EVERY SINGLE DAY AND NIGHT AND THAT SHE FEELS AS THOUGH SHE IS BEING ROBBED OF HER SLEEP AND QUALITY OF LIFE. THE PATIENTS STATES THAT SHE THINKS OF SUICIDE EVERY SINGLE DAY. THIS REPORT IS FOR ONE (1) UNKNOWN TNS NAIL. THIS REPORT IS 1 OF 3 FOR (B)(4).

Description of Event or Problem · 1

UPDATE 8/2/2017: THE PATIENT REPORTED NEW INFORMATION OF HAVING HAD BILATERAL KNEE REPLACEMENT SURGERY (DATE UNKNOWN) AND THAT HER KNEES WERE NOT HEALING PROPERLY AS A RESULT OF HER PAIN ISSUE FROM SYNTHES NAIL IMPLANT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
524662 10MM/130 DEG TI CANN TROCH FIXATION NAIL 235MM ¿ STERILE ROD, FIXATION, INTRAMEDULLARY HSB SYNTHES MONUMENT 6581084

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention