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