BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 1853066 · Received September 14, 2010

    Report

    Report Number
    1853066
    Event Type
    Malfunction
    Date Received
    September 14, 2010
    Date of Event
    September 14, 2010
    Report Date
    September 14, 2010
    Manufacturer
    BIOMET, INC.
    Product Code
    HTW
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US

    Narratives

    Description of Event or Problem · 1

    DRILL PIN TIP BROKE OFF IN TPS FEMUR DURING PLACEMENT. UNABLE TO RETRIEVE ITEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * DRILL PIN HTW BIOMET, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR