Internal reference number: case-(b)(4).H10: smith & nephew is submitting this report pursuant to the provisions of 21 c.F.R.Part 803.This report may be based upon information which smith & nephew has not been able to investigate or verify prior to the required reporting date.This report does not reflect a conclusion by fda, smith & nephew, or its employees, that the report constitutes an admission that the device, smith & nephew or its employees caused or contributed to the potential event described in this report.
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It was reported that, after an internal fixation surgery, had been performed on unknown date, the patient experienced unknown symptoms.This adverse event was solved by revision surgery on (b)(6) 2024, in which the trigen intertan intertroch antegr nail was removed.Patient's current health status is unknown.No further complications were reported.
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H3, h6: the device was not returned for evaluation; therefore, a device analysis could not be performed.The clinical/medical investigation concluded that, per complaint details, a revision was performed on (b)(6) 2024, due to unknown symptoms after an unknown length of time in-vivo.It was communicated that the patient did not experience trauma, the surgeon does not fault the device and does not anticipate further interventions due to the reported event; however, medical documentation is not available.Patient current status is unknown but the surgeon was reportedly satisfied with the surgical outcome.Without the medical documentation, no contributing clinical factors were identified.The patient impact beyond the revision due to unknown symptoms cannot be determined, although a transient post-surgical phase would be anticipated.A review of the instructions for use documents for intramedullary nail system provides complete guidelines of indications, contraindications, warnings and precautions and possible adverse effects that may occur preoperative, during surgery or post operative.Device specific identifiers were not provided.Therefore, an evaluation of the manufacturing records, complaint history review, risk management file and prior actions could not be performed.At this time, we have no evidence to conclude that the product failed to meet any specifications at the time of manufacture.No details about the cause of the revision surgery were provided, therefore no factors that can contribute can be delineated.Based on this investigation, the need for corrective action is not indicated.Should the device or additional information be received, the complaint will be reopened.No further investigation is warranted for this complaint; however, we will continue to monitor for future complaints and investigate as necessary.We consider this investigation closed.
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