EPIFIX GROWTH CONTROL SYSTEM
Received Sep 12, 2020 · Event occurred Jun 24, 2020
Report 3013680140-2020-00002 · MDR key 10526087
Device
Generic name
Guided Growth Plate
Manufacturer
Wishbone Medical, Inc.Model number
PK-EFC0222TCatalog number
PK-EFC0222T
Lot number
23201
Product problems
- Fracture
- Fracture
Patient
13 YR
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
MULTIPLE MDRS REPORTED FOR THE SAME PATIENT EVENT, SEE 3013680140-2020-00001 & 3013680140-2020-00003. DURING INVESTIGATION, ALL MANUFACTURING RECORDS WERE FOUND TO BE CONFORMING. ROOT CAUSE IDENTIFIED TO BE ENGINEERING SPECIFICATION ERROR WHICH ALLOWED MANUFACTURING VARIABILITY AND ULTIMATELY A THIN WALL CONDITION. THIS IS THE COMPANY'S FIRST COMPLAINT; WE HAVE BEEN WORKING WITH THE ESIG AND EMDR TEAMS TO GAIN ACCESS AND HAVE A SUCCESSFUL TEST SUBMISSION OVER THE PAST 2 MONTHS HENCE THE DELAY IN 30-DAY REPORTING.
Description of Event or Problem
IT WAS REPORTED THAT SCREWS PULLED THROUGH 3 OF THE EPIFIX PLATES DURING SURGERY. IT WAS REPORTED THAT THIS DID NOT AFFECT THE OUTCOME OF THE SURGERY ON THE PATIENT. NO INJURY OR DELAY OF SURGERY WAS REPORTED. 3 PLATES WERE EXPLANTED, REMAINING 4 PLATES WERE IMPLANTED SUCCESSFULLY. NO ALLEGATIONS WERE REPORTED AGAINST THE SCREWS OR INSTRUMENTS IN THE PROCEDURAL KITS. THIS IS DEVICE 2 OF 3 (SEE 3013680140-2020-00001 & 3013680140-2020-00003 FOR REMAINING DEVICES). DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS.
Remedial action
- Modification/Adjustment