BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ORTHOPEDIC MANUAL SURGICAL INSTRUMENT

    MDR report key: 10024168 · Received May 5, 2020

    Report

    Report Number
    10024168
    Event Type
    Malfunction
    Date Received
    May 5, 2020
    Date of Event
    April 20, 2020
    Report Date
    April 23, 2020
    Manufacturer
    DEGEN MEDICAL
    Product Code
    LXH
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NC
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    TIP OF SCREWDRIVER BROKE OFF INTO THE SCREWHEAD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    488562 ORTHOPEDIC MANUAL SURGICAL INSTRUMENT LXH DEGEN MEDICAL

    Patients

    Seq Age Sex Outcome Treatment
    1 28105 DA