BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TELEGRAPH

    MDR report key: 23534331 · Received November 12, 2025

    Report

    Report Number
    3003898228-2025-00004
    Event Type
    Malfunction
    Date Received
    November 12, 2025
    Date of Event
    September 29, 2025
    Report Date
    February 20, 2026
    Manufacturer
    FH INDUSTRIE
    Product Code
    HSB
    UDI-DI
    03661489508554
    PMA / PMN Number
    K023241
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    PERFORMING INTRAMEDULLARY NAILING OF A LONG OPEN FRACTURE OF THE UPPER THIRD OF THE HUMERUS. USE OF A SHORT NAIL LOCKED WITH TWO PROXIMAL SCREWS AND A DISTALE SCREW. DURING SURGERY THE DRILL WAS USED AND THEN SENT TO THE STERILISATION DEPARTMENT. THE STERILISATION DEPARTMENT NOTICED THAT THE DISTAL END OF THE DRILL WAS MISSING. THE OPERATING THEATRE PERFORMED A CONTOL X-RAY, DURING WHICH THE TIP WAS NOT FOUND. IT IS IMPOSSIBLE TO DETERMINE WITH CERTAINTY THAT THE TIP HAS NOT REMAINED IN THE PATIENT'S BODY.

    Description of Event or Problem · 0

    PERFORMING INTRAMEDULLARY NAILING OF A LONG OPEN FRACTURE OF THE UPPER THIRD OF THE HUMERUS. USE OF A SHORT NAIL LOCKED WITH TWO PROXIMAL SCREWS AND A DISTALE SCREW. DURING SURGERY THE DRILL WAS USED AND THEN SENT TO THE STERILISATION DEPARTMENT. THE STERILISATION DEPARTMENT NOTICED THAT THE DISTAL END OF THE DRILL WAS MISSING. THE OPERATING THEATRE PERFORMED A CONTOL X-RAY, DURING WHICH THE TIP WAS NOT FOUND. IT IS IMPOSSIBLE TO DETERMINE WITH CERTAINTY THAT THE TIP HAS NOT REMAINED IN THE PATIENT'S BODY.

    Description of Event or Problem · 0

    PERFORMING INTRAMEDULLARY NAILING OF A LONG OPEN FRACTURE OF THE UPPER THIRD OF THE HUMERUS. USE OF A SHORT NAIL LOCKED WITH TWO PROXIMAL SCREWS AND A DISTAL SCREW. DURING SURGERY THE DRILL WAS USED AND THEN SENT TO THE STERILISATION DEPARTMENT. THE STERILISATION DEPARTMENT NOTICED THAT THE DISTAL END OF THE DRILL WAS MISSING. THE OPERATING THEATRE PERFORMED A CONTROL X-RAY, DURING WHICH THE TIP WAS NOT FOUND. IT IS IMPOSSIBLE TO DETERMINE WITH CERTAINTY THAT THE TIP HAS NOT REMAINED IN THE PATIENT'S BODY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2034083 TELEGRAPH TELEGRAPH DRILL WITH AO CONNECTION D2,5 L60 HSB FH INDUSTRIE SM53023 03661489508554

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown Other