FDA Adverse Event Injury Summary report: N

CUTTER, WIRE

MDR report key: 10343568 · Received July 30, 2020

Report

Report Number
10343568
Event Type
Injury
Date Received
July 30, 2020
Date of Event
July 16, 2020
Report Date
July 24, 2020
Manufacturer
BOSS INSTRUMENTS LTD
Product Code
HXZ
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
NY
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

AN ADULT FEMALE WAS UNDERGOING A T3-ILIUM POSTERIOR SPINAL FUSION. THE BOLT CUTTER BROKE, AND A SMALL PIECE OF IT FELL INTO THE LEFT CHEST THOUGH THE SPINE INCISION. CT SURGERY WAS CONSULTED INTRA-OPERATIVELY TO ASSIST WITH REMOVAL. THIS NECESSITATED OVER SEWING AND STAPLING OF A HOLE IN THE LUNG PARENCHYMA, PARTIAL LUNG RESECTION, AND LEFT CHEST TUBE PLACEMENT WAS DONE AND THE FOREIGN BODY WAS FOUND. THERE WAS BLEEDING IN THIS AREA THAT REQUIRED 4L INTRAVENOUS FLUIDS, 4 UNITS OF PACKED RED BLOOD CELLS, 1-UNIT FRESH FROZEN PLASMA, 1-UNIT PLATELETS. PATIENT NEEDED A CHEST TUBE AND REQUIRED AN ICU ADMISSION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
810093 CUTTER, WIRE HXZ BOSS INSTRUMENTS LTD

Patients

Seq Age Sex Outcome Treatment
1 7300 DA Hospitalization| R