BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BEAVER

    MDR report key: 158635 · Received March 23, 1998

    Report

    Report Number
    1211998-1998-00001
    Event Type
    Malfunction
    Date Received
    March 23, 1998
    Date of Event
    February 2, 1998
    Manufacturer
    BECTON DICKINSON & CO.
    Product Code
    GES
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IN AN ATTEMPT AT PASSING THE BEAVER BLADE INTO THE KNEE THROUGH THE OUTER MEDIAL PORTAL, THE BLADE BROKE AND THROUGH MULTIPLE ATTEMPTS, THE BLADE WAS WASHED INTO THE POSTERIOR CONFINES OF THE POSTEROLATERAL MARGIN OF THE TIBIAL PLATEAU OVE ITS POSTERIOR RIM. PHYSICIAN WAS UNABLE TO RETRIEVE THE BLADE. PT ARRIVED TO E.R IN PAIN. PT TAKEN TO SURGERY AS AN EMERGENCY AND THE BLADE WAS RETRIEVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BEAVER 4MM ARTHRO LOK BLADE GES BECTON DICKINSON & CO. * 0211728313

    Patients

    Seq Age Sex Outcome Treatment
    1 19 YR Required Intervention