FDA Adverse Event
Malfunction
Summary report: N
BRASSELER EZX BLADE
MDR report key: 24636771
·
Received March 19, 2026
Report
- Report Number
- 3009599228-2026-00001
- Event Type
- Malfunction
- Date Received
- March 19, 2026
- Date of Event
- January 15, 2026
- Report Date
- March 20, 2026
- Manufacturer
- IMEDICOM CO., LTD.
- Product Code
- HWE
- UDI-DI
- 00887919859130
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
AFTER RECEIVING MEDWATCH REPORT MW5182731 VIA OUR U.S. AGENT, WE REQUESTED ADDITIONAL INFORMATION FROM THE IMPORTER. HOWEVER, NO FURTHER DETAILS HAVE BEEN PROVIDED TO DATE. ALTHOUGH NO PATIENT INJURY WAS REPORTED, DEVICE RETRIEVAL HAS BEEN REQUESTED FOR EVALUATION.
Description of Event or Problem · 0
LEFT TOTAL HIP REVISION, BRASSELER EZX BLADE OPENED TO STERILE FIELD. WHILE SURGEON USING INSIDE LEFT HIP BLADE BROKE. ALL PIECES RETRIEVED FROM LEFT HIP. C-ARM WAS OFFERED, BUT SURGEON DETERMINED ALL PIECES RETRIEVED AND NO NEED FOR IMAGING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 195961 | BRASSELER EZX BLADE | INSTRUMENT, SURGICAL, ORTHOPEDIC | HWE | IMEDICOM CO., LTD. | BRXTB530 | BHA25052708 | 00887919859130 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 59 YR | Female | Required Intervention |