inforMED
InjuryHST

TOWER WRIST JOINT

Received Feb 4, 2019 · Event occurred Jan 10, 2019

Report 3025141-2019-00099 · MDR key 8301468

Device

Generic name

Apparatus, Traction, Non-powered

Manufacturer

Acumed Llc

Model number

10100014

Catalog number

10100014

Lot number

364026

Product problems

  • Peeled/Delaminated

Patient

51 YR

  • Foreign Body In Patient
  • Foreign Body In Patient

Narrative

Additional Manufacturer Narrative

RETURNED PRODUCT EXAMINED VISUALLY UNDER MAGNIFICATION. ALL THREADED FEATURES WERE INSPECTED AND FOUND TO BE IN GOOD CONDITION. WELDS CONNECTING THE ARM SLEEVES TO THE LOCKING JOINT HAVE CRACKED. ADDITIONAL MDRS ASSOCIATED WITH THIS EVENT: 3025141-2019-00097: ROSETTE KNOB 1, 3025141-2019-00098: ROSETTE KNOB 2, 3025141-2019-00100: TOWER UPPER ARC.

Description of Event or Problem

DURING SURGERY ON THE PATIENT'S ARM, IT WAS SUPPORTED BY THE ARC WRIST TOWER. DURING THE SURGERY, THE SURGEON FOUND TINY METAL FLAKES IN THE WOUND. THE FLAKES WERE COMING FROM THE ARC WRIST TOWER. ALL OF THE METAL FLAKES WERE NOT SUCCESSFULLY REMOVED FROM THE WOUND, AS SOME WERE STICKING TO THE SYNOVIUM EVEN WHEN WASHED THOROUGHLY. THERE WAS A DELAY IN SURGERY AS A RESULT OF THIS SITUATION.