BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SIGNATURE INSTRUMENTATION SPRING DRILL PIN

    MDR report key: 2163578 · Received June 30, 2011

    Report

    Report Number
    MW5021321
    Event Type
    Injury
    Date Received
    June 30, 2011
    Date of Event
    March 22, 2011
    Report Date
    June 30, 2011
    Manufacturer
    BIOMET
    Product Code
    LXH
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    POST OP XRAY REVEALED A SMALL PORTION OF A SPRING DRILL PIN USED FOR STABILIZATION REMAINED IN THE BONE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIGNATURE INSTRUMENTATION SPRING DRILL PIN NONE LXH BIOMET 411020

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR Other