BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NEXGEN COMPLETE KNEE SOLUTION ROTATING HINGE KNEE SCREW DRIVER

    MDR report key: 1073696 · Received July 1, 2008

    Report

    Report Number
    1822565-2008-00379
    Event Type
    Malfunction
    Date Received
    July 1, 2008
    Date of Event
    May 1, 2008
    Report Date
    June 4, 2008
    Manufacturer
    ZIMMER, INC.
    Product Code
    HXX
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

    Description of Event or Problem · 1

    IT IS REPORTED THAT THE TIP OF THE SCREWDRIVER FRACTURED OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NEXGEN COMPLETE KNEE SOLUTION ROTATING HINGE KNEE SCREW DRIVER KNEE INSTRUMENT HXX ZIMMER, INC. NA 60318962

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK