inforMED
InjuryPBJ

DISTRACTION

Received Feb 14, 2023

Report 9610905-2023-00001 · MDR key 16375234

Device

Generic name

Distractor

Model number

51-563-30-71

Lot number

33507282

Product problems

  • Failure to Advance
  • Adverse Event Without Identified Device or Use Problem
  • Failure to Advance
  • Adverse Event Without Identified Device or Use Problem

Patient

6 MO · Female

  • Impaired Healing
  • Impaired Healing

Narrative

Description of Event or Problem

IT WAS REPORTED THAT A DISTRACTOR WOULD NOT ADVANCE. IT WAS REMOVED AND REPLACED.

Additional Manufacturer Narrative

AN INVESTIGATION WAS PERFORMED IN THE LAB AND THERE WERE NO INDICATIONS OF MATERIAL OR MANUFACTURING DEFECTS. THE COMPLAINT PERCENTAGE WAS CALCULATED, AND IT IS DETERMINED THAT THE COMPLAINT PERCENTAGE FALLS WITHIN THE DESIGN RISK LIMITS ADHERED TO AT KLM. DURING THE INVESTIGATION THE PRODUCT LOT NUMBER IDENTIFIED WAS REVIEWED IN THE DEVICE HISTORY RECORDS. THE DHR REVIEW SHOWED NO DISCREPANCIES OR ANOMALIES. THE INVESTIGATION RESULTS CONCLUDE THAT THE ROOT CAUSE IS PATIENT RELATED AS NO DEVICE ISSUE WAS FOUND. IF FURTHER INFORMATION IS OBTAINED THAT MIGHT ADD VALUE TO THE CONTENTS OF THE INVESTIGATION REPORT, AN ADDITIONAL FOLLOW-UP REPORT WILL BE SUBMITTED.