FDA Adverse Event
Malfunction
Summary report: N
G&K FEM NAIL EXTRACTION
MDR report key: 5971760
·
Received September 22, 2016
Report
- Report Number
- 0009610622-2016-00443
- Event Type
- Malfunction
- Date Received
- September 22, 2016
- Date of Event
- August 26, 2016
- Report Date
- August 26, 2016
- Manufacturer
- STRYKER TRAUMA KIEL
- Product Code
- HSB
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
DEVICE WILL NOT BE RETURNED. IF ADDITIONAL INFORMATION BECOMES AVAILABLE IT WILL BE PROVIDED ON A SUPPLEMENTAL REPORT. DEVICE DISPOSITION IS UNKNOWN.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE PATIENT UNDERWENT THE SURGERY WITH THE AP-J NAIL. ON (B)(6) 2016, THE PATIENT UNDERWENT THE AP-J EXTRACT SURGERY DUE TO OSTEOARTHRITIS AND TO CONVERT TO THA. THE SURGEON USED THE EXTRACTION ADAPTER FOR AP-J. HOWEVER THE SURGEON DID NOT EXTRACTED THE NAIL. WHEN THE SURGEON CHECKED THE ADAPTER, HE FOUND THAT IT IS ANOTHER ADAPTER (1111-1100). THEREFORE THE SURGEON USED THE ADAPTER FOR GAMMA3. HE EXTRACTED THE NAIL AND CANCELED THA. THIS ADAPTER WAS SHIPPED FROM OUR DISTRIBUTION CENTER. THA WAS CANCELLED BECAUSE THE NAIL REMOVAL TOOK TIME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 623512 | G&K FEM NAIL EXTRACTION | INSTRUMENT | HSB | STRYKER TRAUMA KIEL | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |