FDA Adverse Event Malfunction Summary report: N

MILLENNIUM SURGICAL

MDR report key: 24571787 · Received March 11, 2026

Report

Report Number
1421101-2026-00002
Event Type
Malfunction
Date Received
March 11, 2026
Date of Event
January 6, 2026
Report Date
March 9, 2026
Manufacturer
AVALIGN TECHNOLOGIES INC.
Product Code
GEN
UDI-DI
00190776341381
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Description of Event or Problem · 0

DURING A MAKO ASSISTED LEFT TOTAL HIP CASE, THE LEWIN CLAMP BROKE. THE SURGEON INSPECTED THE INSTRUMENT AND THE PATIENT; THE SCRUB TECH AND CIRCULATOR INSPECTED THE EQUIPMENT. SPD WAS CONTACTED TO COME AND INSPECT THE INSTRUMENT; ALL PARTIES INVOLVE AGREE THAT ALL PARTS OF THE INSTRUMENT WERE OBTAINED AND ACCOUNTED FOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
627394 MILLENNIUM SURGICAL LEWIN BONE FORCEPS GEN AVALIGN TECHNOLOGIES INC. 0-47130 00190776341381

Patients

Seq Age Sex Outcome Treatment
1 NA Male Other