FDA Adverse Event Injury Summary report: N

PLATE, FIXATION, BONE

MDR report key: 7307552 · Received March 1, 2018

Report

Report Number
8030965-2018-51603
Event Type
Injury
Date Received
March 1, 2018
Date of Event
November 3, 2008
Report Date
February 20, 2018
Manufacturer
OBERDORF SYNTHES PRODUKTIONS GMBH
Product Code
HRS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS FOR UNKNOWN 4 HOLES CENTRALLY SPACED MANDIBULAR MINIPLATES. PART AND LOT NUMBERS ARE UNKNOWN. WITHOUT THE SPECIFIC PART AND LOT NUMBER, THE UDI IS NOT AVAILABLE. COMPLAINANT DEVICE IS NOT EXPECTED TO BE RETURNED FOR MANUFACTURER REVIEW/INVESTIGATION. 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. 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. (B)(4)

Description of Event or Problem · 1

THIS REPORT IS BEING FILED AFTER THE SUBSEQUENT REVIEW OF THE FOLLOWING LITERATURE ARTICLE: A.W. SUGAR ET AL. (2009). A RANDOMISED CONTROLLED TRIAL COMPARING FIXATION OF MANDIBULAR ANGLE FRACTURES WITH A SINGLE MINIPLATE PLACED EITHER TRANSBUCALLY AND INTRA-ORALLY, OR INTRA-ORALLY ALONE. "INTERNATIONAL ASSOCIATION OF ORAL AND MAXILLOFACIAL SURGEONS: 2009; 38: 241-245. (B)(6). THE AIM OF THIS STUDY WAS TO COMPARE OUTCOMES FOLLOWING FIXATION OF MANDIBULAR ANGLE FRACTURES WITH A COMBINED TRANSBUCCAL AND INTRA-ORAL TECHNIQUE IN WHICH A SINGLE MINIPLATE IS FIXED TO THE LATERAL ASPECT OF THE MANDIBLE, WITH THE STANDARD INTRA-ORAL TECHNIQUE IN WHICH A SINGLE MINIPLATE IS FIXED TO THE ANTERIOR ASPECT OF THE MANDIBULAR EXTERNAL OBLIQUE RIDGE. ONE-HUNDRED FORTY (140) CONSECUTIVE PATIENTS WERE RANDOMLY ALLOCATED TO THE TWO TREATMENT GROUPS. COMPLICATIONS WERE NOTED AND COMPARED. THE COMBINED TRANSBUCCAL/INTRA-ORAL PROCEDURE WAS SAFER AND MORE EFFECTIVE THAN THE STANDARD INTRA-ORAL TECHNIQUE IN TERMS OF COMPLICATIONS REQUIRING FURTHER SURGERY. FIXATION WAS WITH A 4 HOLE CENTRALLY SPACED MANDIBULAR MINIPLATE (SYNTHES FOR 2.0 MM SCREWS). A MINI-AIR DRILL WAS USED WITH COPIOUS SALINE IRRIGATION FOR COOLING AND ALL SCREWS PLACED WERE 6 MM LONG. THE FOLLOWING COMPLICATIONS WERE REPORTED: IN 5 CASES, THE MINIPLATE WAS REMOVED BECAUSE THE FRACTURE HAD NOT UNITED AND A RECONSTRUCTION PLATE HAD TO BE INSERTED. CODED REASON FOR PLATE REMOVAL WAS LOOSE/LOST SCREWS, INFECTION AND NON-UNION OF FRACTURE. OVERALL, THERE WAS A PRESENCE OF BREAKDOWN AND/OR GRANULATION AT INCISION SITES. PRESENCE OF INFECTION WITH SINUS AND PUS. PRESENCE OF EXPOSED PLATES. PRESENCE OF A DRY SOCKETS. PRESENCE OF MALOCCLUSION. MEASUREMENT OF INTER-INCISAL MOUTH OPENING. THIS REPORT IS FOR UNKNOWN 4 HOLE CENTRALLY SPACED MANDIBULAR MINIPLATES, WHICH WERE IMPLANTED IN 5 PATIENTS. THIS IS REPORT 1 OF 2 FOR COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
150362 PLATE, FIXATION, BONE HRS OBERDORF SYNTHES PRODUKTIONS GMBH

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention