BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MATTA IM CANAL FINDERMANUAL SURGICAL INSTRUMENT FOR GENERAL USE

    MDR report key: 16713495 · Received April 11, 2023

    Report

    Report Number
    3004776227-2023-02100
    Event Type
    Malfunction
    Date Received
    April 11, 2023
    Date of Event
    August 1, 2021
    Report Date
    March 29, 2023
    Manufacturer
    SYMMETRY MEDICAL MANUFACTURING INC
    Product Code
    HTR
    UDI-DI
    00847538010664
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 0

    DID A TOTAL HIP CASE TODAY WITH THE SURGEON AND DURING THE CASE A MATTA IM CANAL FINDER BROKE OFF IN THE PATIENTS FEMORAL CANAL. AFTER AN HOUR AND A HALF, WE GOT THE BROKEN INSTRUMENT OUT OF THE PATIENTS FEMORAL CANAL. WAS SURGERY DELAYED DUE TO THE REPORTED EVENT? YES. IF YES, NUMBER OF MINUTES: AN HOUR AND A HALF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    374475 MATTA IM CANAL FINDERMANUAL SURGICAL INSTRUMENT FOR GENERAL USE RASP HTR SYMMETRY MEDICAL MANUFACTURING INC 259807013 SO2051853 00847538010664

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown