BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    M/DN

    MDR report key: 2111875 · Received May 30, 2011

    Report

    Report Number
    2111875
    Event Type
    Malfunction
    Date Received
    May 30, 2011
    Date of Event
    April 14, 2011
    Report Date
    May 30, 2011
    Manufacturer
    ZIMMER
    Product Code
    HSB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    BROKEN INTRAMEDULLARY NAIL WAS REMOVED BY USING THE PROXIMAL INCISIONS AND ENGAGING THE EXTRACTOR TO THE ZIMMER MINIMALLY INVASIVE (MD/N) NAIL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 M/DN ROD, FIXATION, INTRAMEDULLARY, FEMORAL NAIL HSB ZIMMER 2252-420-11 60513199

    Patients

    Seq Age Sex Outcome Treatment
    1 26 YR