BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ENCORE HIP INSTRUMENT

    MDR report key: 1230441 · Received November 7, 2008

    Report

    Report Number
    1644408-2008-00409
    Event Type
    Malfunction
    Date Received
    November 7, 2008
    Date of Event
    October 29, 2008
    Report Date
    October 30, 2008
    Manufacturer
    ENCORE MEDICAL, L.P.
    Product Code
    HTW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    FLEXIBLE DRILL TWISTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENCORE HIP INSTRUMENT FLEXIBLE DRILL HTW ENCORE MEDICAL, L.P.

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR