inforMED
InjuryHST

PIVOT GUARDIAN DIRECT FINE TRACTION

Received Dec 28, 2022 · Event occurred Nov 14, 2022

Report 0002936485-2022-00799 · MDR key 16064387

Device

Generic name

Apparatus, Traction, Non-powered

Model number

3105000306

Catalog number

3105000306

Product problems

  • Patient Device Interaction Problem
  • Adverse Event Without Identified Device or Use Problem
  • Patient Device Interaction Problem

Patient

Unknown

  • Hip Fracture
  • No Clinical Signs, Symptoms or Conditions
  • Hip Fracture
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE PRODUCT WAS NOT RETURNED FOR INVESTIGATION AND THE REPORTED FAILURE MODE WAS NOT CONFIRMED. ALLEGED FAILURE: PATIENT INJURY OF A BROKEN FEMUR. PROBABLE ROOT CAUSE: DESIGN: POOR CONNECTOR DESIGNS OR TOLERANCING, CONNECTOR IS LOOSE, CONNECTOR UNABLE TO HOLD FORCE, UNCLEAR FEEDBACK IF MECHANISM IS FULLY LOCKED/ATTACHED , CASTERS SLIP ON FLOOR , VERTICAL SPARS COLLAPSE , HORIZONTAL SPARS COLLAPSE, FINE TRACTION ELEMENT PIVOTS UNINTENTIONALLY , BOOT DISCONNECTS FROM FINE TRACTION ELEMENT , TABLETOP EXTENSION CUSHION LIFTS OR SLIDES UNDER FORCE USE ERROR. THE DEVICE MANUFACTURE DATE IS NOT KNOWN. THE REPORTED FAILURE MODE WILL BE MONITORED FOR FUTURE REOCCURRENCE. H3 OTHER TEXT : 81.

Description of Event or Problem

IT WAS REPORTED THAT THERE WAS PATIENT INJURY OF A BROKEN FEMUR THAT REQUIRED AN ADDITIONAL PROCEDURE TO REPAIR.

Additional Manufacturer Narrative

ADDITIONAL INFORMATION WILL BE PROVIDED ONCE THE INVESTIGATION HAS BEEN COMPLETED. THE DEVICE MANUFACTURER DATE IS NOT KNOWN AT THIS TIME. HOWEVER, SHOULD IT BECOME AVAILABLE IT WILL BE PROVIDED IN FUTURE REPORTS.

Description of Event or Problem

IT WAS REPORTED THAT THERE WAS PATIENT INJURY OF A BROKEN FEMUR THAT REQUIRED AN ADDITIONAL PROCEDURE TO REPAIR.