MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2019-03-20 for 4.5MM/3.5MM LCP? METAPHYSEAL PLATE 13 HOLES 224.758 manufactured by Wrights Lane Synthes Usa Products Llc.
[139343969]
Complainant part is not expected to be returned for manufacturer review/investigation. (b)(4). The investigation could not be completed; no conclusion could be drawn, as no product was received. Based on the information available, it has been determined that no corrective and/or preventative action is proposed. This complaint will be accounted for and monitored via post market surveillance activities. If additional information is made available, the investigation will be updated as applicable. Device was used for treatment, not diagnosis. If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10
[139343970]
It was reported that on an unknown date, the patient underwent an open reduction internal fixation (orif) of tibia, the locking compression plate (lcp) metaphyseal plate 13 holes was placed on the midshaft tibia to proximal half. The non-union and weight bearing caused the plate to snap postoperatively. It is unknown if there was surgical delay. Procedure and patient outcome are unknown. Concomitant device reported: unknown screws (part # unknown, lot # unknown, quantity # unknown). This report is for one (1) 4. 5mm/3. 5mm lcp metaphyseal plate. This is report 1 of 1 for complaint (b)(4).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2939274-2019-57041 |
| MDR Report Key | 8437040 |
| Report Source | COMPANY REPRESENTATIVE,HEALTH |
| Date Received | 2019-03-20 |
| Date of Report | 2019-02-25 |
| Date Mfgr Received | 2019-04-19 |
| Device Manufacturer Date | 2011-03-16 |
| Date Added to Maude | 2019-03-20 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | KARA DITTY-BOVARD |
| Manufacturer Street | 1302 WRIGHTS LANE EAST |
| Manufacturer City | WEST CHESTER PA 19380 |
| Manufacturer Country | US |
| Manufacturer Postal | 19380 |
| Manufacturer Phone | 6103142063 |
| Manufacturer G1 | WERK BETTLACH (CH) |
| Manufacturer Street | MURACHERSTRASSE 3 |
| Manufacturer City | BETTLACH 2544 |
| Manufacturer Country | SZ |
| Manufacturer Postal Code | 2544 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | 4.5MM/3.5MM LCP? METAPHYSEAL PLATE 13 HOLES |
| Generic Name | APPLIANCES,FIXATION,NAIL/BLD/PL COMBO,MULTI COMP, METAL COM |
| Product Code | LXT |
| Date Received | 2019-03-20 |
| Model Number | 224.758 |
| Catalog Number | 224.758 |
| Lot Number | 2716475 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | WRIGHTS LANE SYNTHES USA PRODUCTS LLC |
| Manufacturer Address | 1302 WRIGHTS LANE EAST WEST CHESTER PA 19380 US 19380 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2019-03-20 |