inforMED
InjuryHST

PIVOT GUARDIAN DIRECT FINE TRACTION

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

Report 0002936485-2022-00802 · MDR key 16064477

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

  • Bone Fracture(s)
  • No Clinical Signs, Symptoms or Conditions
  • Bone Fracture(s)
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE DEVICE MANUFACTURER DATE IS NOT KNOWN. THIS COMPLAINT INVESTIGATION WAS CLOSED BASED ON THE DEVICE NOT RECEIVED, THEREFORE THE REPORTED FAILURE MODE WAS NOT CONFIRMED. IN THE EVENT THAT THE DEVICE IS RECEIVED, THE COMPLAINT WILL BE REOPENED AND THE INVESTIGATION WILL BE UPDATED WITH NEW RESULTS. 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 REPORTED FAILURE MODE WILL BE MONITORED FOR FUTURE REOCCURRENCE. H3 OTHER TEXT : 81.

Description of Event or Problem

IT WAS REPORTED THAT THERE WAS A PATIENT INJURY OF A BROKEN FEMUR.

Description of Event or Problem

IT WAS REPORTED THAT THERE WAS A PATIENT INJURY OF A BROKEN FEMUR.

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.