TL+ METAL DISTRACTION / COMPRESSION NUT 50-13010

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor,foreign report with the FDA on 2019-08-08 for TL+ METAL DISTRACTION / COMPRESSION NUT 50-13010 manufactured by Orthofix Srl.

Event Text Entries

[154011801] Analysis of historical records: the devices involved in this event have not been returned to orthofix (b)(4) yet. The devices lot number has not been specified yet. Therefore it is not possible to perform the verification of the historical data. Technical evaluation: the devices involved in this event have not been returned to orthofix (b)(4) yet. The technical evaluation will be performed as soon as the devices are received. Medical evaluation: the information available on the case was sent to our medical evaluator. A preliminary medical evaluation was performed and will be finalized once the results of the technical evaluation are available. As soon as the results of the technical investigation become available, orthofix (b)(4) will provide you with a follow up report. Orthofix (b)(4) continues monitoring the devices on the market. Please kindly refer also to mfr report number 9680825-2019-00050 and mfr report number 9680825-2019-00051. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[154011802] The information provided by the local distributor indicates: hospital name: (b)(6) hospital, surgeon name: dr (b)(6), date of initial surgery: (b)(6) 2019, body part to which device was applied: tibia, surgery description: specified in event description, patient information: (b)(6) year-old, male, weight (b)(6), height 1. 75 meters, previous health condition: tibia bone loss. Problem observed during: clinical use on patient/intraoperative. Type of problem: device functional problem. Event description: "last (b)(6), at the (b)(6) hospital, a lengthening surgery for the tibia was performed, with dr. (b)(6) and my person as technical support. During the whole procedure we did very well, the assembly and application of the tutor were good. At the moment that the dr wants to distract the osteotomy, turning the lengthening nuts, four of them are fully consolidated to the bars, blocking the whole system. To solve we had to cut the bars and change the whole part of the assembly that was affected; therefore the osteotomy moved. Finally and in summary, we finished the procedure after correcting the whole problem (the translation could not be completely corrected). We are waiting for the review of said patient ((b)(6) 2019) where he will verify the functioning of the tutor and the post-operative lengthening nuts. The complaint report form also indicates: the device failure caused adverse effects on patient (loss of fracture reduction). The initial surgery was not completed with the device. A replacement device was immediately available to complete surgery. The event led to a clinically relevant increase in the duration of the surgical procedure: we had to delay the theatre program, i. E. The following surgeries. An additional surgery was not required. A medical intervention (outpatient clinic) was not required. Copies of the operative reports are not available. Copies of the x-ray images are not available. Patient current health condition: the patient has a follow up meeting with the doctor on (b)(6) 2019. The doctor will keep us informed. Manufacturer reference number: (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9680825-2019-00049
MDR Report Key8872878
Report SourceDISTRIBUTOR,FOREIGN
Date Received2019-08-08
Date of Report2019-10-01
Date of Event2019-07-08
Date Mfgr Received2019-09-13
Device Manufacturer Date2018-10-22
Date Added to Maude2019-08-08
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. ROBERTO DONADELLO
Manufacturer StreetVIA DELLE NAZIONI, 9
Manufacturer CityBUSSOLENGO, VERONA, ITALY 37012
Manufacturer CountryIT
Manufacturer Postal37012
Manufacturer G1ORTHOFIX SRL
Manufacturer StreetVIA DELLE NAZIONI, 9
Manufacturer CityBUSSOLENGO, VERONA, 37012
Manufacturer CountryIT
Manufacturer Postal Code37012
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTL+ METAL DISTRACTION / COMPRESSION NUT
Generic NameTL+ METAL DISTRACTION / COMPRESSION NUT
Product CodeLXT
Date Received2019-08-08
Returned To Mfg2019-08-23
Model Number50-13010
Catalog Number50-13010
Lot Number26943244
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerORTHOFIX SRL
Manufacturer AddressVIA DELLE NAZIONI, 9 BUSSOLENGO, VERONA, 37012 IT 37012


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-08-08

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