FDA Adverse Event
Injury
Summary report: N
ORTHOPEDIC MANUAL SURGICAL INSTRUMENT: NAIL
MDR report key: 9241796
·
Received October 25, 2019
Report
- Report Number
- 3025141-2019-00415
- Event Type
- Injury
- Date Received
- October 25, 2019
- Report Date
- September 26, 2019
- Manufacturer
- ACUMED LLC
- Product Code
- LXH
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OR, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 1
ADDITIONAL CASES ASSOCIATED WITH THIS ARTICLE: 3025141-2019-00414: CASE 1, 3025141-2019-00416: CASE 3, 3025141-2019-00417: CASE 4.
Description of Event or Problem · 1
ARTICLE: TREATMENT OF PROXIMAL HUMERAL FRACTURES WITH POLARUS NAIL FIXATION NAIL, AGEL, JULIE, MA; JONES, CLIFFORD B, MD; SANZONE, ANTHONY G., MD; CAMUSO, MATTHEW, MD; HENLEY, M. BRADFORD, MD; JOURNAL OF SHOULDER AND ELBOW SURGERY, 2004, VOLUME 13, NUMBER 2, 191-195. CASE 2: IN PATIENT, THE POLARUS NAIL WAS INSERTED THROUGH THE GREATER TUBEROSITY FRACTURE AND LATERAL TO THE SULCUS; NAIL FAILED AND WAS CONVERTED TO A CUSTOM BLADE PLATE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1032676 | ORTHOPEDIC MANUAL SURGICAL INSTRUMENT: NAIL | LXH | ACUMED LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |