FDA Adverse Event
Injury
Summary report: N
MICROAIRE ENDOSCOPIC KITS
MDR report key: 16887515
·
Received May 5, 2023
Report
- Report Number
- MW5117324
- Event Type
- Injury
- Date Received
- May 5, 2023
- Date of Event
- April 18, 2022
- Report Date
- April 28, 2023
- Manufacturer
- MICROAIRE SURGICAL INSTRUMENTS LLC..
- Product Code
- HRX
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- IL, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
MICROAIRE WAS BEING USED FOR ENDOSCOPIC CUBITAL TUNNEL RELEASE. THIS COMPANY MAKES THE COMPONENTS IN THE ENDOSCOPIC KITS. THE PATIENT FOUND TO HAVE ULNAR NERVE INJURY POST-OP THAT REQUIRED SURGICAL INTERVENTION; 1/2 CASES FOR THE PROVIDER USING THIS NEW KIT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 883250 | MICROAIRE ENDOSCOPIC KITS | ARTHROSCOPE | HRX | MICROAIRE SURGICAL INSTRUMENTS LLC.. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Female | Required Intervention |