BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FLIPCUTTER III DRILL

    MDR report key: 14352997 · Received May 11, 2022

    Report

    Report Number
    14352997
    Event Type
    Malfunction
    Date Received
    May 11, 2022
    Date of Event
    April 11, 2022
    Report Date
    May 4, 2022
    Manufacturer
    T.A.G MEDICAL PRODUCTS CORPORATION LTD.
    Product Code
    HTO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CT
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    ARTHREX FLIPCUTTER III DRILL BROKE IN PATIENT'S KNEE DURING ACL (ANTERIOR CRUCIATE LIGAMENT) REPAIR. ALL PIECES RETRIEVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1996929 FLIPCUTTER III DRILL REAMER HTO T.A.G MEDICAL PRODUCTS CORPORATION LTD. 22A25

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown