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 2019-04-08 for 3.5MM LCP? PROXIMAL HUMERUS PLATE-STANDARD 3H SHAFT/90MM 241.901 manufactured by Wrights Lane Synthes Usa Products Llc.
[141180047]
Patient id also reported as (b)(6). Complainant part is not expected to be returned for manufacturer review/investigation. Without a lot number the device history records review could not be completed. Product was not returned. 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. (b)(4). 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
[141180048]
It was reported that on (b)(6) 2019, the patient underwent revision open reduction internal fixation (orif) of the right proximal humerus due to nonunion. The following hardware was removed: one (1) locking compression plate (lcp) proximal humerus plate-standard 3h head shaft. One (1) cortex screw self-tapping 34mm. One (1) cortex screw self-tapping 30mm. Two (2) locking screw self-tapping with stardrive recess 52mm. One (1) locking screw self-tapping with stardrive (tm) recess 40mm. One (1) locking screw self-tapping with stardrive recess 48mm. One (1) locking screw self-tapping with stardrive (tm) recess 38mm. One (1) locking screw self-tapping with stardrive (tm) recess 50mm. One (1) locking screw self-tapping with stardrive recess 46mm. One (1) locking screw self-tapping with stardrive (tm) recess 32mm. Hardware was originally implanted on december 23, 2017. All hardware was removed successfully and intact. Procedure was successfully completed. Patient status is unknown. This report is for a 3. 5mm lcp? Proximal humerus plate. This is report 1 of 10 for (b)(4). Additional reports are captured under (b)(4).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2939274-2019-57334 |
| MDR Report Key | 8491087 |
| Report Source | COMPANY REPRESENTATIVE,HEALTH |
| Date Received | 2019-04-08 |
| Date of Report | 2019-03-14 |
| Date Mfgr Received | 2019-03-14 |
| Date Added to Maude | 2019-04-08 |
| 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 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| 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 RARON (CH) |
| Manufacturer Street | KANALSTRASSE WEST 30 |
| Manufacturer City | RARON 3942 |
| Manufacturer Country | SZ |
| Manufacturer Postal Code | 3942 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | 3.5MM LCP? PROXIMAL HUMERUS PLATE-STANDARD 3H SHAFT/90MM |
| Generic Name | APPLIANCE, FIXATION, NAIL/BLADE/PLATE COMBO, SINGLE COMPONENT |
| Product Code | KTW |
| Date Received | 2019-04-08 |
| Model Number | 241.901 |
| Catalog Number | 241.901 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| 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 | 2019-04-08 |