BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 1233423 · Received November 11, 2008

    Report

    Report Number
    1020279-2008-00294
    Event Type
    Injury
    Date Received
    November 11, 2008
    Date of Event
    October 23, 2008
    Report Date
    November 11, 2008
    Manufacturer
    SMITH & NEPHEW INC., ORTHOPAEDIC DIV.
    Product Code
    HTW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    RI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A DRILL BIT BOKE OFF IN THE PT'S LEFT DISTAL HUMEROUS WHILE PERFORMING SURGERY ON THE LEFT ELBOW. THE DRILL BIT REMAINS IN PLACE FLUSH WITH THE BONE SURFACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK DRILL BIT HTW SMITH & NEPHEW INC., ORTHOPAEDIC DIV. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 21 YR Other