BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ZIMMER

    MDR report key: 2021761 · Received March 11, 2011

    Report

    Report Number
    MW5019810
    Event Type
    Malfunction
    Date Received
    March 11, 2011
    Date of Event
    March 11, 2011
    Report Date
    March 11, 2011
    Manufacturer
    ZIMMER
    Product Code
    HXX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ZIMMER REDUCTION SCREWDRIVER # (B)(4) BROKE WHILE CUTTING BONE. NO HARM TO PT. ALL POLICIES AND PROCEDURES FOLLOWED AS APPROPRIATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER REDUCTION SCREWDRIVER HXX ZIMMER #3558-2 62 ZE

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR