MAUDE Adverse Event Report: SYNTHES GMBH UNK - SCREWS: 7.3 MM CANNULATED; SCREW, FIXATION, BONE

Device Problem Migration (4003)

Patient Problem Loss of Range of Motion (2032)

Event Type  Injury  

Manufacturer Narrative

Depuy synthes is submitting this report pursuant to the provisions of 21 cfr, part 803.This report may be based on information which depuy synthes has not been able to investigate or verify prior to the required reporting date.This report does not reflect a conclusion by fda, depuy synthes or its employees that the report constitutes an admission that the device, depuy synthes, or its employees caused or contributed to the potential event described in this report.If the information is unknown, not available or does not apply, the section/field of the form is left blank.Medical safety officer evaluated the reported death, and it was determined that the patient's death was not attributed to the devices.This report is for an unknown screws: 7.3 mm cannulated /unknown lot.Part and lot numbers are unknown; udi number is unknown.Complainant part is not expected to be returned for manufacturer review/investigation.Without a lot number the device history records review could not be completed.Product was not returned.Based on the information available, it has been determined that no corrective and/or preventative action is proposed.This complaint will be accounted for and monitored via post market surveillance activities.If additional information is made available, the investigation will be updated as applicable.Device was used for treatment, not diagnosis.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.

Event Description

Device report from synthes reports an event in france as follows: this report is being filed after the review of the following journal article caudron, m., boudissa, m.And tonetti, j.(2022) succession of failures in surgical management of fragility fracture of the pelvis, trauma case reports, vol.42 (xx) pages 1-6 (france).This study reports a 79-year-old man who sustained a fragility fracture of the pelvis (ffp) classified type ivb.He had a medical history of parkinson's disease and repeated falls from height complicated with lumbar osteoporotic vertebral compression fractures.After a delayed diagnosis with persistence of pain and loss of mobility, a bilateral sacroplasty was performed.Two weeks after surgery, pain recurred on lumbar spine and on the hips.Neuropathic pain appeared on both l5 and s1 nerve roots.A percutaneous ilio-lumbar reduction was attempted with cemented augmentation using a competitor device and bilateral ilio-sacral screwing using 7.3 cannulated titanium screws (depuy synthes, switzerland).Reduction was not achieved and screws finally pulled out very shortly after the procedure (fig.4).At last follow-up of one year, parker score was 3/9 and patient needed institutionalization in a nursing home.Finally, the patient died one year after institutionalization with a significant loss of mobility, and autonomy.A copy of the literature article is being submitted with this medwatch.This report involves one unk - screws: 7.3 mm cannulated.This is report 1 of 1 for (b)(4).

• Brand Name: UNK - SCREWS: 7.3 MM CANNULATED
• Type of Device: SCREW, FIXATION, BONE
• Manufacturer (Section D): SYNTHES GMBH; eimattstrasse 3; oberdorf 4436 ; SZ 4436
• Manufacturer Contact: kate karberg ; 1302 wright lane east; west chester, PA 19380 ; 3035526892
• MDR Report Key: 16284647
• MDR Text Key: 308648923
• Report Number: 8030965-2023-01300
• Device Sequence Number: 1
• Product Code: HWC
• Combination Product (y/n): N
• Reporter Country Code: FR
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Foreign,Literature,Health Professional
• Reporter Occupation: Physician
• Type of Report: Initial

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 02/02/2023
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 01/11/2023
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Is the Device Single Use?: Yes
• Type of Device Usage: Unknown
• Patient Sequence Number: 1
• Patient Outcome(s): Required Intervention
• Patient Age: 79 YR
• Patient Sex: Male