BEUDAMED
    FDA Adverse Event Other Summary report: N

    ZIMMER

    MDR report key: 2018695 · Received March 9, 2011

    Report

    Report Number
    MW5019769
    Event Type
    Other
    Date Received
    March 9, 2011
    Date of Event
    March 8, 2011
    Manufacturer
    ZIMMER NEW ENGLAND
    Product Code
    HTW
    Report Source
    Voluntary report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    A 1.8 DRILL BIT BROKE IN QUAD DURING SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER DRILL BIT 1/8 HTW ZIMMER NEW ENGLAND

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Other