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 |