FDA Adverse Event Injury Summary report: N

UNKNOWN GAMMA NAIL

MDR report key: 8367291 · Received February 25, 2019

Report

Report Number
0009610622-2019-00081
Event Type
Injury
Date Received
February 25, 2019
Date of Event
November 27, 2018
Report Date
February 25, 2019
Manufacturer
STRYKER TRAUMA KIEL
Product Code
HSB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NH, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DEVICE WILL NOT BE RETURNED. IF ADDITIONAL INFORMATION BECOMES AVAILABLE IT WILL BE PROVIDED ON A SUPPLEMENTAL REPORT. DEVICE DISPOSITION IS UNKNOWN.

Description of Event or Problem · 1

THIS PI IS FOR THE REVISION OF A GAMMA NAIL ON PATIENT'S RIGHT SIDE. IN PROVIDING ADDITIONAL INFORMATION FOR A REVISION OF THE PATIENT'S RIGHT TOTAL KNEE, AND A REVISION OF A T2 SCN NAIL PRIOR TO THAT, REP REPORTED THE FOLLOWING: "THIS PATIENT ALSO HAD A GAMMA NAIL INSERTED AND EX-PLANTED ON THE RIGHT SIDE PRIOR TO HAVING THE T2 SCN NAIL PUT IN AND EX-PLANTED. HOWEVER, I DO NOT HAVE THESE DATES".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
160570 UNKNOWN GAMMA NAIL IMPLANT HSB STRYKER TRAUMA KIEL UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 60 YR Required Intervention