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 |