BEUDAMED
    FDA Adverse Event Summary report: N

    2.7 MM THREADED DRILL GUIDE

    MDR report key: 2082223 · Received April 29, 2011

    Report

    Report Number
    2082223
    Date Received
    April 29, 2011
    Date of Event
    April 15, 2011
    Report Date
    April 29, 2011
    Manufacturer
    DEPUY
    Product Code
    LXH
    Report Source
    User Facility report
    Reporter Location
    RI, US

    Narratives

    Description of Event or Problem · 1

    A PIECE OF THE THREADED END OF THE DEPUY DRILL POST/TOWER CAME OFF WHILE BEING USED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 2.7 MM THREADED DRILL GUIDE DRILL GUIDE LXH DEPUY 214207027 EK9GH4

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR