FDA Adverse Event Injury Summary report: N

UNKNOWN AIM DYNAMIC TIBIA NAIL

MDR report key: 6959821 · Received October 18, 2017

Report

Report Number
0001825034-2017-09196
Event Type
Injury
Date Received
October 18, 2017
Date of Event
April 16, 2008
Report Date
October 18, 2017
Manufacturer
ZIMMER BIOMET, INC.
Product Code
HSB
PMA / PMN Number
PNI
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(6). HAYOUNG KIM, SANG KI LEE, KAP JUNG KIM, JAE HOON AHN, WON SIK CHOY, YONG IN KIM, AND JEA YUN KOO ¿TIBIAL LENGTHENING USING A REAMED TYPE INTRAMEDULLARY NAIL AND AN ILIZAROV EXTERNAL FIXATOR¿. INTERNATIONAL ORTHOPAEDICS (SICOT) (2009) 33:835-841 THE COMPLAINT DEVICE IS NOT EXPECTED FOR RETURN CURRENTLY, BUT A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED UPON RECEIPT OF ADDITIONAL INFORMATION. THE REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. A DEVICE HISTORY RECORD REVIEW WAS UNABLE TO BE PERFORMED AS THE LOT NUMBER OF THE DEVICE INVOLVED IN THE EVENT IS UNKNOWN. A COMPLAINT HISTORY REVIEW WAS UNABLE TO BE PERFORMED AS THE PART AND LOT NUMBERS ARE UNKNOWN. A ROOT CAUSE WAS UNABLE TO BE DETERMINED AS THE NECESSARY INFORMATION TO ADEQUATELY INVESTIGATE THE REPORTED EVENT WAS NOT PROVIDED.

Description of Event or Problem · 1

IT WAS REPORTED IN A JOURNAL ARTICLE THAT TWO (2) PATIENTS WITH CEREBRAL PALSY HAD A DISTAL INTERLOCKING SCREW INSERTED AFTER LIMB LENGTHENING PROCEDURES AND ADDITIONAL PROCEDURES WERE PERFORMED; INCLUDING ACHILLES TENDON LENGTHENING, DISTAL HAMSTRING RELEASE, TIBIALIS POSTERIOR APONEUROTIC LENGTHENING, AND METATARSAL EXTENSION OSTEOTOMY DUE TO UNKNOWN REASONS. NO FURTHER INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
739609 UNKNOWN AIM DYNAMIC TIBIA NAIL FIXATION, NAIL HSB ZIMMER BIOMET, INC. N/A NI

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R