1.6MM NITINOL K-WIRE, 500MM, BLUNT TIP 685-007

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2014-02-20 for 1.6MM NITINOL K-WIRE, 500MM, BLUNT TIP 685-007 manufactured by Globus Medical, Inc..

Event Text Entries

[4358094] In the process of trying to position a k-wire through "in-house" shorter and thinner jamshidi needles into where a revolve screw will be getting implanted (1) 1. 6mm x 500mm nitinol, blunt, threaded k-wire broke at the tip (appox 1cm) while inside the lumbar vertebral body, it was left inside the vertebral body.
Patient Sequence No: 1, Text Type: D, B5


[11773845] A comprehensive investigation was immediately initiated on receipt of the complaint. The product was returned for eval; however a thorough review could not be conducted as the lot number was not provided. The k-wire was inspected, and has been broken at the distal end. The broken tip of the k-wire was left inside the pt. Based on the description, it is not possible to determine an exact cause for the reported issue. It is possible the k-wire became kinked from the screw and/or tap having a different trajectory when being inserted into the vertebra. This would subject the material to high forces, which would cause it to reach its elastic limit, and fracture. Nitinol is generally a safe biocompatible material and has been previously approved for long term implant use by the fda. The exact cause of the reported condition cannot be ascertained. See scanned page.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3004142400-2014-00009
MDR Report Key3772435
Report Source07
Date Received2014-02-20
Date of Report2014-03-06
Date of Event2014-03-05
Date Mfgr Received2014-03-06
Date Added to Maude2014-05-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactDANIEL PAUL, VP
Manufacturer Street2560 GENERAL ARMISTEAD AVE.
Manufacturer CityAUDUBON PA 19403
Manufacturer CountryUS
Manufacturer Postal19403
Manufacturer Phone6109301800
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name1.6MM NITINOL K-WIRE, 500MM, BLUNT TIP
Generic NameK-WIRE, 500MM
Product CodePBF
Date Received2014-02-20
Returned To Mfg2014-03-13
Model Number685-007
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerGLOBUS MEDICAL, INC.
Manufacturer Address2560 GENERAL ARMISTEAD AVE. AUDUBON PA 19403 US 19403


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-02-20

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