BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BD BARD PARKER

    MDR report key: 1873122 · Received October 15, 2010

    Report

    Report Number
    2649798-2010-00004
    Event Type
    Injury
    Date Received
    October 15, 2010
    Date of Event
    September 30, 2010
    Report Date
    October 15, 2010
    Manufacturer
    BD
    Product Code
    GES
    PMA / PMN Number
    PREAMEND
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A #11 SURGICAL BLADE WAS BROKEN OFF IN PT DURING A SHOULDER ARTHROSCOPY. AN OPEN PROCEDURE WAS REQUIRED TO RETRIEVE THE BLADE FRAGMENT THAT REMAINED IN THE PT'S SHOULDER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD BARD PARKER #11 STAINLESS STEEL SURGICAL BLADE GES BD NA 0134282

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention