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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYNTHES GMBH 4.5MM VA-LCP CURVED CONDYLAR PLATE/16 HOLE/336MM/LEFT; CONDYLAR PLATE FIXATION IMPLANT

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SYNTHES GMBH 4.5MM VA-LCP CURVED CONDYLAR PLATE/16 HOLE/336MM/LEFT; CONDYLAR PLATE FIXATION IMPLANT Back to Search Results
Model Number 02.124.417
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Bone Fracture(s) (1870); Pain (1994); Malunion of Bone (4529)
Event Type  Injury  
Event Description
It was reported that on (b)(6) 2020, the patient had a fall and sustained a periprosthetic femur fracture requiring open reduction internal fixation (orif).The plate and screws were manufactured by synthes.Implants did not appear to be removed.On (b)(6) 2021, x-ray taken showed persistent displacement of a partially healed distal femur fracture with lateral plate and screw construct stable in position.On (b)(6) 2021, injection to left knee for pain performed.Pain has persisted despite physical therapy, bracing, and nerve blocks.On (b)(6) 2021, surgeon stated, that the left knee is ligamentously loose to varus stress and pain.On (b)(6) 2021, x-ray results stated, that there is a periprosthetic fracture in the distal femoral diaphysis, that is subacute to chronic.There is one shaft width posterior displacement of the distal fracture fragment.There is no evidence of hardware fracture or loosening.Surgeon states, left knee is unstable likely secondary to malunion of the femur fracture with resultant shortening.On (b)(6) 2021, patient sustained two falls resulting in a pelvic and then a right humeral fracture.Medical records do not include the primary operative notes, nor the revision notes.This report is for one (1) 4.5mm va-lcp curved condylar plate/16 hole/336mm/left.This is report 9 of 12 for (b)(4).This (b)(4) is related to (b)(4) and (b)(4).
 
Manufacturer Narrative
Depuy synthes is submitting this report pursuant to the provisions of 21 cfr, part 803.This report may be based on information which depuy synthes has not been able to investigate or verify prior to the required reporting date.This report does not reflect a conclusion by fda, depuy synthes or its employees that the report constitutes an admission that the device, depuy synthes, or its employees caused or contributed to the potential event described in this report.If the information is unknown, not available or does not apply, the section/field of the form is left blank.H10 additional narrative: d2b: additional device product codes: hwc, hrs.D9: complainant part is not expected to be returned for manufacturer review/investigation.E3: reporter is a j&j attorney.H3, h4, h6: without a lot number, the device history records review could not be completed.The investigation could not be completed.No conclusion could be drawn, as no product was received.Based on the information available, it has been determined that no corrective and/or preventative action is proposed.This complaint will be accounted for and monitored via post market surveillance activities.If additional information is made available, the investigation will be updated as applicable.Device was used for treatment, not diagnosis.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
 
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Brand Name
4.5MM VA-LCP CURVED CONDYLAR PLATE/16 HOLE/336MM/LEFT
Type of Device
CONDYLAR PLATE FIXATION IMPLANT
Manufacturer (Section D)
SYNTHES GMBH
eimattstrasse 3
oberdorf 4436
SZ  4436
Manufacturer (Section G)
WERK MEZZOVICO (CH)
via cavazz 5
mezzovico 6805
SZ   6805
Manufacturer Contact
kate karberg
1302 wrights lane east
west chester, PA 19380
8472871282
MDR Report Key16747872
MDR Text Key313407628
Report Number8030965-2023-04682
Device Sequence Number1
Product Code JDP
UDI-Device Identifier10886982042958
UDI-Public(01)10886982042958
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K110354
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other
Reporter Occupation Other
Type of Report Initial
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/14/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Model Number02.124.417
Device Catalogue Number02.124.417
Was Device Available for Evaluation? No
Date Manufacturer Received03/27/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Type of Device Usage Unknown
Patient Sequence Number1
Treatment
5.0 VA LOCKNG SCR SLF-TPNG/SD/16; 5.0 VA LOCKNG SCR SLF-TPNG/SD/18; 5.0 VA LOCKNG SCR SLF-TPNG/SD/24; 5.0 VA LOCKNG SCR SLF-TPNG/SD/26; 5.0 VA LOCKNG SCR SLF-TPNG/SD/28; 5.0 VA LOCKNG SCR SLF-TPNG/SD/38; 5.0 VA LOCKNG SCR SLF-TPNG/SD/85; 5.0MM CANNULATED VA LOCKING SCREW/65MM; 5.0MM CANNULATED VA LOCKING SCREW/70MM; 5.0MM CANNULATED VA LOCKING SCREW/80MM; 5.0MM CANNULATED VA LOCKING SCREW/85MM
Patient Outcome(s) Required Intervention;
Patient SexFemale
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