FDA Adverse Event
Summary report: N
PATELLA CLAMP
MDR report key: 1170364
·
Received September 8, 2008
Report
- Report Number
- 1170364
- Date Received
- September 8, 2008
- Date of Event
- September 4, 2008
- Report Date
- September 8, 2008
- Manufacturer
- DEPUY ORTHOPEDICS INC.
- Product Code
- LXH
- Report Source
- User Facility report
- Reporter Location
- RI, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
PATELLA CLAMP PIN FELL OUT DURING PROCEDURE. IT WAS FOUND ON THE DRAPE. ALL PIECES OF THE PATELLA CLAMP WERE FOUND AND REMOVED FROM THE FIELD. NO HARM TO PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PATELLA CLAMP | CLAMP, ORTHOPEDIC | LXH | DEPUY ORTHOPEDICS INC. | PATELLA TRY 03 | NOT KNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 59 YR |