FDA Adverse Event Malfunction Summary report: N

CANN CONNECTING SCR F/PERCUTAN INSTRUMENTS FOR NAILS-EX

MDR report key: 7477639 · Received May 1, 2018

Report

Report Number
8030965-2018-53482
Event Type
Malfunction
Date Received
May 1, 2018
Date of Event
April 12, 2018
Report Date
April 13, 2018
Manufacturer
OBERDORF SYNTHES PRODUKTIONS GMBH
Product Code
FZX
UDI-DI
0761181950170
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PATIENT INFORMATION IS NOT AVAILABLE FOR REPORTING. DEVICE IS AN INSTRUMENT AND IS NOT IMPLANTED/EXPLANTED. FACILITY ADDRESS AND REPORTER PHONE NUMBER NOT PROVIDED FOR REPORTING. THE SUBJECT DEVICE HAS BEEN RECEIVED AND THE PRODUCT EVALUATION IS IN PROGRESS. NO CONCLUSION CAN BE DRAWN. A REVIEW OF THE DEVICE HISTORY RECORDS HAS BEEN REQUESTED AND IS CURRENTLY PENDING COMPLETION. 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.

Additional Manufacturer Narrative · 1

PART 03.010.404, LOT U210481: RELEASE TO WAREHOUSE DATE: OCTOBER 22, 2014. SUPPLIER: ORCHID UNIQUE. NO NON-CONFORMANCE REPORTS (NCRS) WERE GENERATED DURING PRODUCTION. REVIEW OF THE DEVICE HISTORY RECORD SHOWED THAT THERE WERE NO ISSUES DURING THE MANUFACTURE OF THIS PRODUCT, AND ANY SUBCOMPONENTS, WHICH WOULD CONTRIBUTE TO THIS COMPLAINT CONDITION. A PRODUCT INVESTIGATION WAS COMPLETED: THE RETURNED CONNECTING SCREW, CANNULATED AND THE INSERTION HANDLE WERE CHECKED FOR CONFORMANCE TO THE SPECIFICATIONS AND FOR FUNCTIONING. THE REVIEW OF THE DEVICE HISTORY RECORDS REVEALED THAT BOTH PARTS WERE MANUFACTURED IN OCTOBER 2014 ACCORDING TO THE SPECIFICATIONS. THE PARTS CONFORMED TO DIMENSIONAL SPECIFICATIONS AT THE TIME OF MANUFACTURING AND PASSED INSPECTION REQUIREMENTS WITH NO NON-CONFORMITIES REPORTED. NOT ALL THE PARTS OF THE COMPLAINT WERE RETURNED FOR AN EVALUATION. WITHOUT THE SCREWDRIVER AND THE NAIL, THE COMPLAINT SITUATION COULD NOT BE REPRODUCED. USING OTHER EXEMPLARY ARTICLES FOR A FUNCTION TEST, THE COMPLAINT ISSUE COULDN¿T BE REPRODUCED. EVEN THOUGH THE RETURNED PARTS SHOW WEAR AND SIGN OF USE, THE CONNECTION OF THE ARTICLES IN SCOPE COULD BE DONE WITHOUT HAVING THEM GET STUCK. THE COUPLING WORKS AS INTENDED. THE INVESTIGATION FOUND NO PRODUCT RELATED ISSUES THAT WOULD HAVE CONTRIBUTED TO THIS COMPLAINT CONDITION. 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.

Description of Event or Problem · 1

DEVICE REPORT FROM SYNTHES EUROPE REPORTS AN EVENT IN (B)(6) AS FOLLOWS: IT WAS REPORTED THAT DURING A SURGERY ON (B)(6) 2018, AFTER IMPLANTING THE NAIL AND BACKSTROKING IT FOR COMPRESSION, SURGEON WAS NOT ABLE TO REMOVE THE NAIL FROM THE INSERTION HANDLE. TOO MUCH STRESS WAS ON THE CONNECTION, THE SURGEON EVEN BROKE THE SCREWDRIVER. THE SURGERY WAS PROLONGED FOR ABOUT 30 MINUTES. THE SURGERY WAS SUCCESSFULLY COMPLETED WITH NO PATIENT HARM. ALL THE BROKEN OFF FRAGMENTS COULD NOT BE REMOVED FROM THE PATIENT. THIS REPORT IS FOR ONE (1) CANNULATED CONNECTING SCREW FOR PERCUTAN INSTRUMENTS FOR NAILS-EX. THIS IS REPORT 1 OF 3 FOR COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
318697 CANN CONNECTING SCR F/PERCUTAN INSTRUMENTS FOR NAILS-EX GUIDE FZX OBERDORF SYNTHES PRODUKTIONS GMBH U210481 0761181950170

Patients

Seq Age Sex Outcome Treatment
1