It was reported that, during an im nailing of proximal femur fracture, four guide pin 3.2mm x 343mm were bending.On obtaining entry point for proximal reamer, guide wires introduced to tip of greater trochanter by hand and bent.Cannulated entry awl was utilised to assist; however, once entry reamer was passed over the guide pin, each guide pin became bent.It is unknown how surgery was completed and how long was delayed as consequence.Patient was not harmed.
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H3, h6: the device, used in treatment, was not returned for evaluation and the reported event could not be confirmed.A complaint history review found related failures for the listed batch; this failure mode will be monitored for future complaints for any necessary corrective actions.A review of the manufacturing records did not reveal a manufacturing abnormality that could have caused or contributed to the reported incident.At this time, we have no reason to suspect that the product failed to meet any product specifications at the time of manufacture.This is a single use device, damage from misuse, excessive cleaning or rough handling are likely probable causes of the reported event.Based on this investigation, the need for corrective action is not indicated.Without the return of the actual product involved, our investigation could not proceed.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.
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