FDA Adverse Event Injury Summary report: N

SCREW, FIXATION, BONE

MDR report key: 7532619 · Received May 22, 2018

Report

Report Number
8030965-2018-53898
Event Type
Injury
Date Received
May 22, 2018
Report Date
May 4, 2018
Manufacturer
OBERDORF SYNTHES PRODUKTIONS GMBH
Product Code
HWC
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS FOR AN UNKNOWN QUANTITY OF UNKNOWN SYNTHES AO SCREWS/UNKNOWN LOT. PART AND LOT NUMBER ARE UNKNOWN; UDI NUMBER IS UNKNOWN. COMPLAINANT PART IS NOT EXPECTED TO BE RETURNED FOR MANUFACTURER REVIEW/INVESTIGATION. (B)(4). 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 REVIEW OF THE FOLLOWING JOURNAL ARTICLE: LOBENHOFFER, P. AND AGNESKIRCHNER, J. (2003) IMPROVEMENTS IN SURGICAL TECHNIQUE OF VALGUS HIGH TIBIAL OSTEOTOMY. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY. VOLUME 11. PAGES 132-138. JANUARY 11, 2003. (GERMANY). THIS STUDY PRESENTS FOUR TECHNICAL MODIFICATIONS OF HIGH TIBIAL OSTEOTOMY FACILITATING CORRECT PERFORMANCE AND MINIMIZING COMPLICATIONS OF THIS PROCEDURE. BETWEEN MAY 1998 AND AUGUST 2002, A TOTAL OF 331 PATIENTS UNDERWENT VALGUS HIGH TIBIAL OSTEOTOMY, HTO, 227 OF WHOM WERE OPERATED ON USING THE OPEN WEDGE TECHNIQUE. 101 PATIENTS WERE TREATED WITH TECHNIQUE DEVELOPED FOR NON-SYNTHES SPACER PLATE. THE PLATE WITH INTEGRATED METAL SPACER WAS FIXED WITH FOUR AO SCREWS TO THE TIBIA TO HOLD THE OSTEOTOMY OPEN. IN THE NEXT SERIES, 112 CONSECUTIVE PATIENTS WERE TREATED WITH RIGID FIXATION INCLUDING OSTEOSYNTHESIS WITH AN UNKNOWN SYNTHES TOMOFIX PLATE-FIXATOR. EIGHT LOCKED BOLTS ARE USED IN THE TOMOFIX DEVICE, FOUR PROXIMAL AND FOUR DISTAL TO THE OSTEOTOMY. REHABILITATION WITH EARLY PARTIAL WEIGHT-BEARING FROM DAY 2 AND FULL WEIGHT-BEARING BETWEEN 6 AND 9 WEEKS AFTER SURGERY. COMPLICATIONS WERE REPORTED AS FOLLOWS: ONE LATE INFECTION TREATED BY EARLY REMOVAL OF THE FIXATOR. ONE HAD OVERCORRECTION WHICH WAS REVISED BY REPOSITIONING THE DISTAL BOLTS OF THE FIXATOR. SOME PATIENTS HAD MINOR SYMPTOMS OVER THE PLATE, AND FOUR PLATES HAVE BEEN REMOVED. THIS REPORT IS FOR AN UNKNOWN QUANTITY OF UNKNOWN SYNTHES AO SCREWS. THIS IS REPORT 2 OF 2 FOR PC-(B)(4). A COPY OF THE LITERATURE ARTICLE IS BEING SUBMITTED WITH THIS MEDWATCH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
374603 SCREW, FIXATION, BONE HWC OBERDORF SYNTHES PRODUKTIONS GMBH

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention