FDA Adverse Event Malfunction Summary report: N

TURON SHOULDER INSTRUMENT

MDR report key: 2152427 · Received June 22, 2011

Report

Report Number
1644408-2011-00354
Event Type
Malfunction
Date Received
June 22, 2011
Date of Event
June 13, 2011
Report Date
June 13, 2011
Manufacturer
ENCORE MEDICAL, L.P.
Product Code
HSD
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

INSTRUMENT END OF LIFE - THE SURGEON WAS DRILLING THE PEGS FOR THE TURON GLENOID. AS HE REACHED TO POSTERIOR HOLE, THE HUMERUS WAS IMPENDING AND THE DRILL BIT BROKE WHEN IT PRESSED AGAINST THE HUMERUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TURON SHOULDER INSTRUMENT GLENOID STOP DRILL HSD ENCORE MEDICAL, L.P. 51653L01

Patients

Seq Age Sex Outcome Treatment
1 68 YR