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