FDA Adverse Event Injury Summary report: N

ROD,FIXATION,INTRAMEDULLARY

MDR report key: 8361611 · Received February 22, 2019

Report

Report Number
8030965-2019-61281
Event Type
Injury
Date Received
February 22, 2019
Report Date
February 1, 2019
Manufacturer
OBERDORF SYNTHES PRODUKTIONS GMBH
Product Code
HSB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS FOR ONE (1) UNKNOWN LFN NAIL. PART#, LOT# AND UDI # IS NOT AVAILABLE. DEVICE IS NOT EXPECTED TO BE RETURNED FOR MANUFACTURER REVIEW/INVESTIGATION. THIS REPORT IS FOR ONE (1) UNKNOWN LFN NAIL. PMA/510(K) NUMBER IS NOT AVAILABLE. (B)(4). PRODUCT WAS NOT RETURNED. DEVICE HISTORY RECORDS REVIEW COULD NOT BE COMPLETED WITHOUT LOT NUMBER. BASED ON THE INFORMATION AVAILABLE, IT HAS BEEN DETERMINED THAT NO CORRECTIVE AND PREVENTATIVE ACTION IS PROPOSED. THIS COMPLAINT WILL BE ACCOUNTED FOR AND MONITORED VIA POST MARKET SURVEILLANCE ACTIVITIES. IF ADDITIONAL INFORMATION IS MADE AVAILABLE, THE INVESTIGATION WILL BE UPDATED AS APPLICABLE. 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 ORIGINALLY, THE PATIENT WAS IMPLANTED WITH AN UNKNOWN LFN NAIL AND UNKNOWN SCREW, ON AN UNKNOWN DATE. ON (B)(6) 2018, THE PATIENT UNDERWENT RIGHT-SIDED NAIL REMOVAL, OSTEOTOMY AND REPLACING IT WITH ANOTHER LATERAL FEMORAL NAIL (LFN), DUE TO MAL-UNION. THE PROCEDURE WAS COMPLETED SUCCESSFULLY WITH NO SURGICAL DELAY. PATIENT CAME TO NO HARM. THIS REPORT IS FOR ONE (1) UNKNOWN LFN NAIL. THIS IS REPORT 1 OF 2 FOR (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
154163 ROD,FIXATION,INTRAMEDULLARY HSB OBERDORF SYNTHES PRODUKTIONS GMBH

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention