BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MINI ACUTRACK FIXATION SYSTEM

    MDR report key: 236057 · Received August 10, 1999

    Report

    Report Number
    MW1016967
    Event Type
    Injury
    Date Received
    August 10, 1999
    Date of Event
    July 29, 1999
    Report Date
    August 3, 1999
    Manufacturer
    ACUMED, INC.
    Product Code
    HWC
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SURGEON PLACING SCREW IN KNEE; TOP OF SCREWDRIVER BROKE OFF; SURGEON AWARE. UNABLE TO RETRIEVE SCREW AND BROKEN PART FROM BONE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MINI ACUTRACK FIXATION SYSTEM Implant BONE SCREW HWC ACUMED, INC. * 2601-AL

    Patients

    Seq Age Sex Outcome Treatment
    1 35 YR Hospitalization