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Catalog Number 53-27212S |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problems
Loss of Range of Motion (2032); Skin Inflammation/ Irritation (4545); Implant Pain (4561)
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Event Date 06/20/2022 |
Event Type
Injury
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Event Description
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In 2018, the claimant had an orif and was implanted with unknown pins and a plate, around december 2021/january 2022, she felt some discomfort/irritation and sought medical care.The revision was scheduled for june 2022 to remove the implanted devices.During the surgery, the surgeon discovered that he did not have the correct instruments to remove the hardware.The hospital spent some time trying to find a suitable to assist in the removal, but could not locate a suitable screwdriver.However, one screw was able to be removed through careful use of a smaller screwdriver head.Since the failed surgery, the patient has been left with a raised red rash on her wrist, and is in more pain than before the failed surgery.Additionally, this is affecting her wrist movement more that before the surgery.
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Manufacturer Narrative
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The reported event could not be confirmed since the device was not returned for evaluation and no other evidences were provided.More detailed information about the complaint event as well as the affected device must be available in order to determine the root cause of the complaint event.However, it was indicated in the event description that the absence of the correct instruments was discovered during the surgery.This gives evidence that hcp failed to properly follow the pre-operative instructions.As a reminder, the instructions for use advise: ¿ ensure that all components needed for the operation are available in the operation theatre." a review of the device history for the reported lot did not indicate any abnormalities.No corrective actions are required at this time.A review of the labeling did not indicate any abnormalities.No indications of material, manufacturing or design related problems were found during the investigation if the device is returned or if any additional information is provided, the investigation will be reassessed.
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Search Alerts/Recalls
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