FDA Adverse Event
Malfunction
Summary report: N
QUICK GUIDE, 1.8MM
MDR report key: 12433457
·
Received September 7, 2021
Report
- Report Number
- 2031009-2021-00004
- Event Type
- Malfunction
- Date Received
- September 7, 2021
- Date of Event
- August 9, 2021
- Report Date
- September 7, 2021
- Manufacturer
- TRIMED INC
- Product Code
- LXH
- UDI-DI
- 00842188112898
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 1
A TRIMED SALES REPRESENTATIVE REPORTED ON (B)(6) 2021 THAT THE GUIDEQ-1.8 FROM A WRIST FIXATION SET HAD "NOT FOR HUMAN USE" LASER MARKED ON THE BOTTOM OF THE DRILL GUIDE. HE STATED THIS DEVICE WAS FOUND DURING A ROUTINE CHECK OF HIS TRAY AND THAT HE IS UNSURE IF THE DEVICE HAD COME IN CONTACT WITH A PATIENT BUT DOESN'T BELIEVE THIS ISSUE CAUSED ANY ADDITIONAL PATIENT HARM OR DELAY IN SURGERY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1334132 | QUICK GUIDE, 1.8MM | QUICK GUIDE, 1.8MM | LXH | TRIMED INC | GUIDEQ-1.8 | BA19001 | 00842188112898 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |