FDA Adverse Event Injury Summary report: N

SIGN IM NAIL

MDR report key: 9788595 · Received March 4, 2020

Report

Report Number
3034525-2020-00030
Event Type
Injury
Date Received
March 4, 2020
Date of Event
January 6, 2020
Report Date
February 24, 2020
Manufacturer
SIGN FRACTURE CARE INTERNATIONAL
Product Code
HSB
PMA / PMN Number
K022632
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
BG
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 EXPLANT WAS PAIN. THE RADIOGRAPHIC AND CLINICAL DATA WERE REVIEWED BY A SIGN ORTHOPEDIC SURGEON. A SECOND SURGERY WAS PERFORMED TO REMOVE THE NAIL. REMOVAL DOES NOT INDICATE A DEFECT IN THE PRODUCT OR A FAILURE OF THE IMPLANT. A MINIMAL RISK IS ASSOCIATED WITH THIS FAILURE. SIGN FRACTURE CARE INTERNATIONAL CONTINUES TO MONITOR THESE EVENTS AS PART OF OUR POST MARKET ACTIVITIES.

Description of Event or Problem · 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 EXPLANT WAS PAIN. THE RADIOGRAPHIC AND CLINICAL DATA WERE REVIEWED BY A SIGN ORTHOPEDIC SURGEON. A SECOND SURGERY WAS PERFORMED TO REMOVE THE NAIL. REMOVAL DOES NOT INDICATE A DEFECT IN THE PRODUCT OR A FAILURE OF THE IMPLANT. A MINIMAL RISK IS ASSOCIATED WITH THIS FAILURE. SIGN FRACTURE CARE INTERNATIONAL CONTINUES TO MONITOR THESE EVENTS AS PART OF OUR POST MARKET ACTIVITIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
249507 SIGN IM NAIL INTRAMEDULLARY FIXATION ROD HSB SIGN FRACTURE CARE INTERNATIONAL

Patients

Seq Age Sex Outcome Treatment
1 43 YR Hospitalization| R