FDA Adverse Event
Injury
Summary report: N
CANNULATED POLY SCREWDRIVER II-MOD
MDR report key: 1062898
·
Received June 19, 2008
Report
- Report Number
- 1649384-2008-00317
- Event Type
- Injury
- Date Received
- June 19, 2008
- Date of Event
- May 21, 2008
- Report Date
- June 19, 2008
- Manufacturer
- ABBOTT SPINE
- Product Code
- HXX
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
PRODUCT IS AN INSTRUMENT AND IS NOT IMPLANTABLE. REQUESTS HAVE BEEN MADE FOR THE RETURN OF THE PRODUCT. REQUEST HAS BEEN MADE TO OBTAIN THE PRODUCT. EVALUATION IS PENDING UPON THE RETURN OF THE PRODUCT.
Description of Event or Problem · 1
IN 2008, THE PT UNDERWENT SURGERY. THE SURGEON WAS IMPLANTING THE SCREWS WHEN THE SCREWDRIVER SPLINTERED. THE SURGEON ATTEMPTED TO RETRIEVE ALL THE FRAGMENTS. THE X-RAY SHOWED NO FRAGMENTS IN THE PT. THE SURGEON ASSUMES THE FRAGMENTS WERE PICKED UP WITH THE SUCTION. THERE WAS A SURGICAL DELAY OF TWO HOURS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CANNULATED POLY SCREWDRIVER II-MOD | PATHFINDER | HXX | ABBOTT SPINE | 29CQ |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Required Intervention |