FDA Adverse Event Malfunction Summary report: N

CURVED CANAL FINDERMANUAL SURGICAL INSTRUMENT FOR GENERAL USE

MDR report key: 16713518 · Received April 11, 2023

Report

Report Number
3004776227-2023-02341
Event Type
Malfunction
Date Received
April 11, 2023
Date of Event
December 28, 2021
Report Date
March 31, 2023
Manufacturer
SYMMETRY MEDICAL MANUFACTURING, INC
Product Code
HTR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

DURING AN ANTERIOR PRIMARY HIP REPLACEMENT, DR. USED THE KYOCERA LATERALIZING RASP TO HELP GAIN ENTRY INTO THE FEMORAL CANAL. HE THEN BEGAN BROACHING AND TOOK AN X-RAY. HE NOTICED THE TIP OF THE RASP HAD BROKEN OFF INSIDE THE PATIENT. HE ATTEMPTED TO EXTRACT IT SEVERAL TIMES BUT WAS UNSUCCESSFUL. THE RASP DURING AN ANTERIOR PRIMARY HIP REPLACEMENT, DR. USED THE KYOCERA LATERALIZING RASP TO HELP GAIN ENTRY INTO THE FEMORAL CANAL. HE THEN BEGAN BROACHING AND TOOK AN X-RAY. HE NOTICED THE TIP OF THE RASP HAD BROKEN OFF INSIDE THE PATIENT. HE ATTEMPTED TO EXTRACT IT SEVERAL TIMES BUT WAS UNSUCCESSFUL. THE RASP WAS TAKEN BY THE SURGERY CENTER STAFF TO CLEAN AND EXAMINE FURTHER. AS TAKEN BY THE SURGERY CENTER STAFF TO CLEAN AND EXAMINE FURTHER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
425212 CURVED CANAL FINDERMANUAL SURGICAL INSTRUMENT FOR GENERAL USE RASP HTR SYMMETRY MEDICAL MANUFACTURING, INC 10-255-000-SMB 7961401

Patients

Seq Age Sex Outcome Treatment
1 Unknown