FDA Adverse Event Injury Summary report: N

SIGN IM NAIL

MDR report key: 9468664 · Received December 13, 2019

Report

Report Number
3034525-2019-00189
Event Type
Injury
Date Received
December 13, 2019
Date of Event
November 29, 2019
Report Date
December 2, 2019
Manufacturer
SIGN FRACTURE CARE INTERNATIONAL
Product Code
HSB
PMA / PMN Number
K022632
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

A PRODUCT INVESTIGATION WAS PERFORMED FOR THIS DEVICE. THE ACTUAL DEVICE WAS NOT RETURNED TO THE MANUFACTURER FOR EVALUATION. THE ROOT CAUSE OF THE NON-UNION IS UNDETERMINED. THERE IS NO WAY TO PREDICT A NON-UNION OR FAILURE TO HEAL. THE RADIOGRAPHIC AND CLINICAL DATA WERE REVIEWED BY A SIGN ORTHOPEDIC SURGEON. THIS FAILURE DOES NOT INDICATE A DEFECT IN THE PRODUCT. A MINIMAL RISK IS ASSOCIATED WITH THIS FAILURE. SIGN FRACTURE CARE INTERNATIONAL CONTINUES TO MONITOR THESE EVENTS AS PART OF OUR POST MARKET SURVEILLANCE ACTIVITIES.

Description of Event or Problem · 1

WE BECAME AWARE ON (B)(4) 2019 THAT A SIGN IM NAIL IMPLANTED TO REPAIR A FRACTURE WAS REPLACED DUE TO A NON-UNION. THE IM NAIL WAS REPLACED WITH A 10MM X 360MM FIN NAIL PER THE SIGN TECHNIQUE MANUAL. SURGEON COMMENT: "HARVESTED THE REAMINGS FROM THE T-HANDLED REAMERS AND SLID THEM INTO THE SHAFT USING THE PLASTIC TISSUE PROTECTER AS A GUIDE INTO THE TROCHANTERIC HOLE, THEN PASSED THE NAIL. SHE IS BEING DISCHARGED HOME, THE SECOND DAY AFTER SURGERY, WALKING UNASSISTED, ALBEIT WITH A LIMP (SHE ALSO HAD A LIMP PRE-OP, ALTHOUGH SHE COULD SQUAT N' SMILE)."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1263877 SIGN IM NAIL INTRAMEDULLARY FIXATION ROD HSB SIGN FRACTURE CARE INTERNATIONAL

Patients

Seq Age Sex Outcome Treatment
1 22 YR Hospitalization| R