FDA Adverse Event
Malfunction
Summary report: N
11.0MM REAMER HEAD FOR RIA 2 STERILE
MDR report key: 16663230
·
Received April 3, 2023
Report
- Report Number
- 16663230
- Event Type
- Malfunction
- Date Received
- April 3, 2023
- Date of Event
- March 23, 2023
- Report Date
- March 23, 2023
- Manufacturer
- SYNTHES GMBH
- Product Code
- HTO
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
USING RIA 2 BONE HARVESTING KIT 520MM WITH 11.0MM REAMER HEAD FOR RIA 2 MD AT FIELD REPORTED BROKEN PIECE NOTED TO REAMER HEAD. REAMER HEAD WITH 3 OUT OF 4 PIECES REMOVED FROM USE. X-RAY USED INTRAOPERATIVELY. ONE PIECE VISIBLE ON X-RAY PER MD AND TO BE RETAINED AT THIS TIME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 530063 | 11.0MM REAMER HEAD FOR RIA 2 STERILE | REAMER | HTO | SYNTHES GMBH | 03.404.018S | 46P3492 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 14235 DA | Unknown |