FDA Adverse Event
Malfunction
Summary report: N
DYONICS DISPOSABLE ARTHROSCOPIC BLADES
MDR report key: 2213142
·
Received August 12, 2011
Report
- Report Number
- 2213142
- Event Type
- Malfunction
- Date Received
- August 12, 2011
- Date of Event
- August 3, 2011
- Report Date
- August 12, 2011
- Manufacturer
- SMITH & NEPHEW
- Product Code
- HRX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TN, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
THE DYONICS ARTHROSCOPIC SURGICAL BLADE BEING USED DURING RIGHT KNEE ARTHOSCOPY BROKE. THE TIP OF BLADE THAT BROKE WAS RETRIEVED WITHOUT INCIDENT OR HARM TO THE PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | DYONICS DISPOSABLE ARTHROSCOPIC BLADES | SURGICAL BLADE | HRX | SMITH & NEPHEW | * | 50577994 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR |