MAUDE Adverse Event Report: SMITH & NEPHEW, INC. META-TAN 9MM X 36CM LEFT; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES

Model Number 71649536

Device Problems Mechanical Problem (1384); Adverse Event Without Identified Device or Use Problem (2993)

Patient Problems Pain (1994); Non-union Bone Fracture (2369); Joint Laxity (4526)

Event Date 04/24/2020

Event Type  Injury  

Event Description

It was reported that the patient suffered from a mechanical complication of the nail after having a fracture fixation surgery of the left femur using the trigen meta-tan system.There is instability of the distal segment of the femur with lateral displacement relative to nail and its previous position.The distal segment appears unstable and mobile, causing significant pain and discomfort.The patient underwent a revision surgery to address the issue.It is unknown if the patient achieved union.The current state of health of the patient is unknown.This 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.We do not have the opportunity to identify individual hcps and revisit negative feedback to retrieve further information.

Manufacturer Narrative

Internal reference number: (b)(4).This complaint was opened by smith+nephew to document a patient complication identified through a review of clinical evidence from a post market clinical follow up activity sponsored by smith and nephew.The reported issue(s) relate to known inherent procedural risks that are appropriately documented in our risk files.Smith+nephew will continue to monitor trends in accordance with our post-market surveillance process and take necessary action as required if anticipated severity and/or occurrence rates are exceeded.Smith+nephew has no reason to suspect that the product failed to meet any specifications at the time of manufacture.Based on our review of all currently available information, we are unable to confirm a relationship between the reported event and the device or identify a definitive root cause.However, as the use of our product cannot be excluded as a potential cause or contributory factor to the reported issue, we are conservatively submitting this report in accordance with applicable regulations.If additional information becomes available that alters the conclusions of this report, a follow-up report will be submitted as required.

Manufacturer Narrative

Additional information: d10, h6 (health effect - clinical code and medical device problem code).

• Brand Name: META-TAN 9MM X 36CM LEFT
• Type of Device: ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES
• Manufacturer (Section D): SMITH & NEPHEW, INC.; 1450 brooks rd.; memphis TN 38116
• Manufacturer (Section G): SMITH & NEPHEW, INC.; 1450 brooks rd.; memphis TN 38116
• Manufacturer Contact: holly topping ; 7000 west william cannon drive; austin, TX 78735 ; 5123913905
• MDR Report Key: 16015672
• MDR Text Key: 305817428
• Report Number: 1020279-2022-04997
• Device Sequence Number: 1
• Product Code: HSB
• UDI-Device Identifier: 00885556338599
• UDI-Public: 00885556338599
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: K092748
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Other,Study,Health Professional
• Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date: 08/22/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: 71649536
• Device Catalogue Number: 71649536
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Initial Date Manufacturer Received: 12/15/2022
• Initial Date FDA Received: 12/20/2022
• Supplement Dates Manufacturer Received: 08/22/2024
• Supplement Dates FDA Received: 08/22/2024
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Treatment: 71645037/TRIGEN LOW PROFILE SCREW 5.0MM X 37.5MM; 71645040/TRIGEN LOW PROFILE SCREW 5.0MM X 40MM; 71645042/TRIGEN LOW PROFILE SCREW 5.0MM X 42.5MM
• Patient Outcome(s): Required Intervention; Hospitalization
• Patient Age: 45 YR
• Patient Sex: Female