FDA Adverse Event Other Summary report: N

ISKD ( INTRAMEDULLARY SKELETAL KINETIC DISTRACTOR)

MDR report key: 724550 · Received June 9, 2006

Report

Report Number
2183449-2006-00009
Event Type
Other
Date Received
June 9, 2006
Date of Event
April 1, 2006
Report Date
June 8, 2006
Manufacturer
ORTHOFIX INC.
Product Code
HSB
Product Problem
Yes
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

INITIAL REPORT RECEIVED ON 04/19/2006 ALLEGED THAT THE DEVICE EITHER MALFUNCTIONED OR WAS MISLABELED. ADDITIONAL INFORMATION FROM THE DISTRIBUTOR WAS REQUESTED IMMEDIATELY FOLLOWING RECEIPT OF THE INITIAL REPORT. COPIES OF THE PT'S X-RAY WERE NOT MADE AVAILABLE TO THE MANUFACTURER UNTIL 06/02/2006 WHICH ENABLED US TO REASSESS THE EVENT AND MAKE A REPORTABILITY DETERMINATION. FURTHER INVESTIGATION OF THIS EVENT WILL BE CONDUCTED AND ADDITIONAL INFORMATION FROM THE DISTRIBUTOR HAS BEEN REQUESTED.

Description of Event or Problem · 1

AN ISKD LENGTHENER WAS IMPLANTED FOR DISTRACTION OF THE PT'S LIMB. NO PROBLEMS WERE REPORTED DURING LENGTHENING PROCESS, HOWEVER, THE LENGTHENER STOPPED DISTRACTING FURTHER WHEN THE PT REACHED 21.7MM. THE DISTRIBUTOR IS ALLEGING THAT THE IMPLANTED LENGTHENER IS A 50MM LENGTHENER THAT WAS LABELED AS A 80MM LENGTHENER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ISKD ( INTRAMEDULLARY SKELETAL KINETIC DISTRACTOR) IMPLANTABLE LENGTHENER HSB ORTHOFIX INC. F14-300-380 NA

Patients

Seq Age Sex Outcome Treatment
1 YR