This report is for an unknown 4.5 mm cannulated screws/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.(b)(4).
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This report is being filed after the review of the following journal article: sabnis, b., brenkel, i., chesney, d., and weir, i.(2009), unusual mode of mechanical failure of an ao cannulated self drilling screw.A case report, acta orthopaedica belgica, vol.75 (4), pages 557-560 (united kingdom).This study presents a case report of a (b)(6) year-old female patient who sustained a supination-adduction injury with a vertical fracture of the medial malleolus and a salter harris type ii injury to the lateral malleolus.Surgery was performed using an ao 40 mm long 4.5 mm cannulated cancellous self drilling screw.During insertion of screw, unusual resistance was felt while the screw was halfway in.Fluoroscopy revealed an unusual picture -unwinding of threads of the screw with the threaded region migrating perpendicular to the line of the screw fixation.The fracture was fixed with another screw before attempting removal of the affected screw.As the screw was withdrawn gently, the threads were seen to be winding again over the guide wire and the screw was removed without any difficulty.The fracture was fixed with one more screw in a satisfactory position.The removed screw showed a continuous split along the root diameter in a spiral manner corresponding to the troughs of the threaded region.This is report 1 of 1 for (b)(4).This report is for an unknown synthes 4.5 mm cannulated screws.
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