inforMED
InjuryJDP

4.5 VACRVD CONDY PL/18H/370/RT

Received May 11, 2021

Report 2939274-2021-02309 · MDR key 11807084

Device

Generic name

Implant,fixation Device, Condylar Plate

Model number

02.124.418

Catalog number

02.124.418

Product problems

  • Break
  • Break

Patient

Not reported

  • Nonunion/Delayed-union Bone Fracture
  • Nonunion/Delayed-union Bone Fracture

Narrative

Additional Manufacturer Narrative

ADDITIONAL PROCODE: HRS, HWC. 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.

Description of Event or Problem

DEVICE REPORT FROM SYNTHES REPORTS AN EVENT IN (B)(6) AS FOLLOWS: IT WAS REPORTED THAT ON AN UNKNOWN DATE, ONE (1) UNKNOWN SCREW AND ONE (1) 4.5MM VA-LCP CURVED CONDYLAR PLATE BROKE IN THE PATIENT. THE PATIENT EXPERIENCED NON-UNION AND REQUIRED REVISION SURGERY. THE ORIGINAL DATE OF SURGERY IS UNKNOWN. THERE IS NO FURTHER INFORMATION AVAILABLE. THIS REPORT IS FOR ONE (1) 4.5MM VA-LCP CURVED CONDYLAR PLATE/18 HOLE/370MM/RIGHT. THIS IS REPORT 2 OF 2 FOR (B)(4).