BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LARGE FRAG SCREWDRIVER

    MDR report key: 1060699 · Received June 10, 2008

    Report

    Report Number
    MW5007307
    Event Type
    Injury
    Date Received
    June 10, 2008
    Date of Event
    June 9, 2008
    Report Date
    June 10, 2008
    Manufacturer
    SYNTHES, INC.
    Product Code
    HXX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    TIP OF SCREWDRIVER BROKE OFF IN SCREW HEAD AND WAS UNABLE TO BE RETRIEVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LARGE FRAG SCREWDRIVER FRAG SCREWDRIVER HXX SYNTHES, INC. 71173409

    Patients

    Seq Age Sex Outcome Treatment
    1 Disability