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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. QUICKFIX SCREW, 2 X 11 MM; PLATE, FIXATION, BONE

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ARTHREX, INC. QUICKFIX SCREW, 2 X 11 MM; PLATE, FIXATION, BONE Back to Search Results
Model Number QUICKFIX SCREW, 2 X 11 MM
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problem Neuropathy (1983)
Event Date 07/18/2017
Event Type  Injury  
Manufacturer Narrative
The contribution of the device to the reported event could not be determined as the device was not returned for evaluation.The root cause of the event could not be determined from the information available and without device evaluation.
 
Event Description
The patient has provided the following information: patient had undergone a left foot osteotomy metatarsal/left weil plantar plate repair on (b)(6) 2017.During the procedure, an arthrex acp injection system (acp kit series ii, abs-10012, lot 616565204, qty 2) was utilized and 2 arthrex quick fix screws were implanted (ar-8930-11, lot 10111019).The following arthrex products were also use: ar-13930ds (lot 703771055) meniscal viper repair kit and ar-8690ds (lot 10091584, qty 2) implant system, cpr mini scorpion dx.After the local anesthetic wore off his left foot felt like it was asleep and the feeling radiated to just above the ankle bone.Feeling has not gone away since the surgery.Condition does not impact any activity, except it feels strange, often a dead feeling and cold.Only exception to functionality is patient's balance while standing on his left foot only is slightly worse than then standing on his right foot.Patient had reached out to the surgeon in early 2019 but chose to follow up with his local physician who referred him for review by a neurologist.Emg exam was conducted and mri's were performed on the left knee and ankle.Patient recap of testing results: emg shows left leg nerves normal above the left knee but not below.Right leg normal.No neuropathy.Mri of left knee - showed some issues but likely due to patient age ((b)(6)).Mri of left foot - edema caused by nerves not functioning correctly.Patient states his primary care physician concludes that something happened during surgery that somehow damaged nerves which have not repaired themselves and that likely they will not repair themselves since it is now over two years post-surgery.Patient's physician recommended no further action other than to monitor the condition.
 
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Brand Name
QUICKFIX SCREW, 2 X 11 MM
Type of Device
PLATE, FIXATION, BONE
Manufacturer (Section D)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer (Section G)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer Contact
vik bajnath
8009337001
MDR Report Key9580156
MDR Text Key189471922
Report Number1220246-2020-01571
Device Sequence Number1
Product Code HRS
UDI-Device Identifier00888867049161
UDI-Public00888867049161
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K052614
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,distri
Reporter Occupation Administrator/Supervisor
Type of Report Initial
Report Date 01/13/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Model NumberQUICKFIX SCREW, 2 X 11 MM
Device Catalogue NumberAR-8930-11
Device Lot Number10111019
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 12/20/2019
Initial Date FDA Received01/13/2020
Date Device Manufactured02/06/2017
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other;
Patient Age70 YR
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