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