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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SIGN FRACTURE CARE INTERNATIONAL SIGN IM NAIL; INTRAMEDULLARY FIXATION ROD

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SIGN FRACTURE CARE INTERNATIONAL SIGN IM NAIL; INTRAMEDULLARY FIXATION ROD Back to Search Results
Device Problem Difficult to Insert (1316)
Patient Problem Limb Fracture (4518)
Event Date 07/06/2022
Event Type  Injury  
Manufacturer Narrative
A product investigation was performed for this device.The actual device was not returned to the manufacturer for evaluation.The root cause of the exchange nail is that the nail was partially outside the bone.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.
 
Event Description
We became aware on (b)(6) 2022 that a sign im nail implanted to repair a fracture was replaced due to the nail being outside the bone.The im nail was replaced with a 11mm x 360mm standard im nail per the sign technique manual.Surgeon comment: "in this surgery we removed nail and replaced properly.".
 
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Brand Name
SIGN IM NAIL
Type of Device
INTRAMEDULLARY FIXATION ROD
Manufacturer (Section D)
SIGN FRACTURE CARE INTERNATIONAL
451 hills street
suite b
richland WA 99354 5502
Manufacturer (Section G)
SIGN FRACTURE CARE INTERNATIONAL
451 hills street
suite b
richland WA 99354 5502
Manufacturer Contact
robert schmitt
451 hills street
suite b
richland, WA 99354-5502
5093711107
MDR Report Key15186825
MDR Text Key297493406
Report Number3034525-2022-00124
Device Sequence Number1
Product Code HSB
Combination Product (y/n)N
Reporter Country CodeTZ
PMA/PMN Number
K022632
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,User Facility
Reporter Occupation Physician
Type of Report Initial
Report Date 07/25/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/08/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received07/25/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Required Intervention;
Patient Age41 YR
Patient SexMale
Patient Weight91 KG
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