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Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problem
Nerve Damage (1979)
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Event Type
Injury
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Manufacturer Narrative
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Patient information: a total of 23 patients (18 males and 5 females) with a mean age of 35.3 years (range 17-63) were included in this study.Brand name, common device name, procode, mfr, lot #, part #, udi #, 510k: this report is for an unknown 4.5mm narrow dynamic compression plate/unknown lot.Part and lot number are unknown; udi number is unknown.Device available for evaluation: complainant part is not expected to be returned for manufacturer review/investigation.Device evaluated by mfr, manufacture date: 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.(b)(4).
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Event Description
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This report is being filed after the review of the following journal article: routt, m.L.Et.Al.(1996), internal fixation in pelvic fractures and primary repairs of associated genitourinary disruptions: a team approach, the journal of trauma: injury, infection, and critical care, vol.40(5), pages 784-790 (usa).10.1097/00005373-199605000-00018.This study describes a treatment protocol and reports the early results of 23 patients with unstable pelvic fractures and associated bladder or urethral disruptions, or both, treated surgically with open reduction and internal fixation of the anterior pelvic ring injuries at the same anesthetic and using the same surgical exposure as the urethral realignments or bladder repairs, or both.A total of 23 patients (18 males and 5 females) with a mean age of 35.3 years (range 17-63) were included in this study.17 patients had anterior pelvic stabilizations, after open reductions, using single 3.5-mm reconstruction plates (synthes, inc., paoli, pa.) of variable lengths dependent upon the injury patterns.5 patients had 2-hole 4.5-mm narrow dynamic compression plates (synthes, inc., paoli, pa) used for symphyseal fixation.Follow-up examinations were available for all the patients and ranged from 3 to 36 months with a mean of 15.5 months.The following complications were reported as follows: 1 male patient sustained a fifth lumbar nerve injury caused by the pelvic reduction procedure.He was injured in a motorcycle accident and was hemodynamically unstable.He had a complete symphyseal disruption and a right sided transforminal sacral fracture.He had temporary pelvic stabilization and underwent angiographic embolization.He continued to have clinical signs of hemodynamic instability.Postoperatively, he had permanent postoperative fifth lumbar motor palsy was noted without sensory changes.Additional devices for this article are captured on related complaints (b)(4).This report is for an unknown 4.5mm narrow dynamic compression plate.This is report 5 of 10 for (b)(4).
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Search Alerts/Recalls
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