BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNK

    MDR report key: 199956 · Received December 1, 1998

    Report

    Report Number
    199956
    Event Type
    Other
    Date Received
    December 1, 1998
    Date of Event
    November 25, 1998
    Report Date
    November 30, 1998
    Manufacturer
    UNK
    Product Code
    EBL
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    GUIDE PIN (X2) BROKE OFF IN THE WOUND DURING INSERTION OF CANNULATED SCREWS. DR. WORKED AN EXTRA ONE HOUR AND FIFTEEN MINUTES TO REMOVE THE BROKEN PIECES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK GUIDE PINS EBL UNK UNK *

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Other