FDA Adverse Event
Malfunction
Summary report: N
CALCANAIL
MDR report key: 10337799
·
Received July 29, 2020
Report
- Report Number
- 3003898228-2020-00006
- Event Type
- Malfunction
- Date Received
- July 29, 2020
- Date of Event
- July 10, 2020
- Report Date
- August 15, 2020
- Manufacturer
- FH INDUSTRIE
- Product Code
- HSB
- PMA / PMN Number
- K150463
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
THE THREADED TREPHINE D12 HAS SHATTED IN USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 800916 | CALCANAIL | CALCANAIL AO LARGE THREADED TREPHINE D12 L140 | HSB | FH INDUSTRIE | 267056 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |