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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: NUVASIVE SPECIALIZED ORTHOPEDICS, INC. PRECICE BONE TRANSPORT SYSTEM; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES

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NUVASIVE SPECIALIZED ORTHOPEDICS, INC. PRECICE BONE TRANSPORT SYSTEM; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES Back to Search Results
Model Number BT115-10X400-7
Device Problem Fracture (1260)
Patient Problem Unspecified Infection (1930)
Event Type  Injury  
Manufacturer Narrative
The device has not been returned for evaluation.The root cause is unable to be determined at this time.If any additional information is provided, a supplemental report will be submitted.
 
Event Description
Information was received that a nail was found to be broken and the patient was also diagnosed with an infection.It was reported the nail had performed as intended, with the patient bone being fully docked and consolidated, but the nail had not been subsequently removed.The nail was removed and an antibiotic nail was placed to address the infection.
 
Event Description
Additional information was provided.
 
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Brand Name
PRECICE BONE TRANSPORT SYSTEM
Type of Device
ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES
Manufacturer (Section D)
NUVASIVE SPECIALIZED ORTHOPEDICS, INC.
101 enterprise dr, suite 100
aliso viejo CA 92656
MDR Report Key11661354
MDR Text Key245383592
Report Number3006179046-2021-00229
Device Sequence Number1
Product Code HSB
Combination Product (y/n)N
PMA/PMN Number
K201567
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,health
Type of Report Initial,Followup
Report Date 06/15/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/13/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberBT115-10X400-7
Device Lot Number0092303AAA
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received06/15/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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