inforMED
MalfunctionJDW

SELF-DRILLING HALF PIN APEX 4MM, 120 X 30MM

Received Dec 14, 2012 · Event occurred Nov 27, 2012

Report 8031020-2012-00298 · MDR key 2924462

Device

Generic name

Implant

Model number

NA

Catalog number

5023-3-120S

Lot number

Z08423

Product problems

  • Bent

Patient

35 YR

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

DURING SURGERY FOR THE EX.FIX, THE SURGEON INSERTED THE APEX PIN. HOWEVER THE TIP OF THE APEX PIN WAS BENT ON THE THREAD PART. THEREFORE, THE SURGEON CHANGED THE APEX PIN TO ANOTHER PIN. THE PT WAS A YOUNG MAN AND BONE QUALITY WAS GOOD.

Additional Manufacturer Narrative

ONCE THE INVESTIGATION HAS BEEN COMPLETED ANY ADDITIONAL INFORMATION WILL BE REPORTED IN A SUPPLEMENTAL REPORT.

Remedial action

  • Other