NUVASIVE SPECIALIZED ORTHOPEDICS, INC. PRECICE STRYDE SYSTEM; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES
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Device Problem
Material Discolored (1170)
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Patient Problems
Bacterial Infection (1735); Erythema (1840); Pain (1994)
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Event Type
malfunction
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Manufacturer Narrative
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Device labeling: metallic implants can loosen, fracture, corrode, migrate or cause pain.Device evaluation provided by (b)(4): corrosion scoring mild to no corrosion at the extendable junction and moderate to severe corrosion at the screw nail holes.Surface damage patient showed evidence of surface damage across all screw-nail holes in both nails.
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Event Description
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Information was received that the patient presented with tibial pain and erythema 6 months post-implantation which resolved with flucloxacillin and removal of the distal locking screws.Reportedly, there are radiological changes at the male/female junction of the nail, not the regenerate.As per the surgeon, he believes that as the nail is forced out there will be a release of some debris which causes a foreign body macrophagic reaction.X-ray changes equate to endosteal scalloping/lysis, periosteal reaction and thickening of the cortex.Incidentally, all lengthened well and the bone regenerate looks good.The nail was explanted on an unknown date.
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