SMITH & NEPHEW, INC. HFN 10MMX16CM RIGHT; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES
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Model Number 71701016R |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problems
Malunion of Bone (4529); Osteomyelitis (4533)
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Event Date 09/09/2016 |
Event Type
Injury
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Manufacturer Narrative
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Internal complaint reference (b)(4).
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Event Description
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It was reported that, after a primary trauma surgery had been performed on the patient's left hindfoot on (b)(6) 2016, in which a hfn 10mm x 16cm left nail was implanted along with four screws placed across the proximal tibial (x2), distal transverse (x1) and distal posteroanterior (x1) region to treat a charcot neuroarthropathy, the patient experienced osteomyelitis and ankle joint nonunion.An additional surgery was performed on (b)(6) 2016 to explant the nail along with the screws, but it is unknown whether additional devices were implanted in exchange.Following the explantation of the devices, the patient required on (b)(6) 2017 a below knee amputation, but the involvement of smith and nephew devices was not confirmed.The reported incident was noticed in a retrospective post-market clinical follow up activity (pmcf) where anonymized data summarizing outcomes were gathered; therefore, additional information is not known and it is not possible to collect it.
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Manufacturer Narrative
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Section h3, h6: the device was not returned for evaluation and the reported event could not be confirmed.The contribution of the device to the reported event could not be corroborated.The clinical/medical investigation concluded that, no relevant supporting clinical information could be provided to assist with this clinical investigation as the data collected from the post-market clinical follow up activity (pmcf) was anonymous.The patient's current condition is unknown and the patient impact beyond the reported events could not be determined based on the limited information provided.Therefore, based on insufficient information, a thorough clinical assessment cannot be performed at this time.Should any additional clinical information be provided this complaint will be re-evaluated.A review of complaint history revealed similar events for the listed device, this failure mode will be monitored for future complaints for any necessary corrective actions.A review of the risk management file revealed this failure mode was previously identified.The anticipated risk level is still adequate.The instructions for use documents revealed this failure mode was previously identified.A historical review concluded that there are no prior actions related to this product and event.At this time, we have no reason to suspect that the product failed to meet any product specifications at the time of manufacture.Factors and/or some potential probable causes that could contribute to the reported event have been identified as overuse or excessive pressure on the joint, injury,procedural/user error, surgical/post operative complications, healing issues and/or patient condition.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.We consider this investigation closed.
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