FDA Adverse Event Injury Summary report: N

ARTHREX INC.

MDR report key: 180183 · Received July 30, 1998

Report

Report Number
180183
Event Type
Injury
Date Received
July 30, 1998
Date of Event
July 21, 1998
Report Date
July 29, 1998
Manufacturer
ARTHREX INC.
Product Code
HRY
Product Problem
Yes
Report Source
User Facility report
Reporter Location
NJ, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

DURING ARTHROSCOPIC PROCEDURE A GUIDE WIRE WAS PLACED INTO KNEE & BROKE IN HALF. BOTH PIECES WERE RETRIEVED BY THE SURGEON. NO INJURY TO PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARTHREX INC. Implant GUIDE WIRE WITH EYE (ACL RECONSTRUCTION SYSTEM) HRY ARTHREX INC. * *

Patients

Seq Age Sex Outcome Treatment
1 16 YR Required Intervention