BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CONMED LINVATEC SPECTRUM

    MDR report key: 2013468 · Received March 4, 2011

    Report

    Report Number
    MW5019691
    Event Type
    Injury
    Date Received
    March 4, 2011
    Date of Event
    March 4, 2001
    Report Date
    March 4, 2011
    Manufacturer
    CONMED LINVATEC
    Product Code
    LXH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DR (B)(6) WAS PERFORMING A RIGHT SHOULDER ARTHROSCOPY/BANKHART PROCEDURE. HE WAS USING A CONMED LINVATEC SPECTRUM 45 DEGREE TO THE LEFT HOOK, REFERENCE (B)(4) WHEN APPROXIMATELY 1 CM. OF THE TIP BROKE OFF IN THE PATIENT'S RIGHT CAPSULE. DR (B)(6) WAS ABLE TO RETRIEVE THE TIP UNDER FLUOROSCOPY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONMED LINVATEC SPECTRUM 45 DEGREE TO THE LEFT SUTURE HOOK LXH CONMED LINVATEC 97.14115

    Patients

    Seq Age Sex Outcome Treatment
    1 17 YR Disability