FDA Adverse Event Other Summary report: N

V MUELLER BE 2847

MDR report key: 272398 · Received April 4, 2000

Report

Report Number
MW1018570
Event Type
Other
Date Received
April 4, 2000
Date of Event
February 11, 2000
Report Date
March 31, 2000
Manufacturer
ALLEGIANCE HEALTHCARE CORP.
Product Code
KAK
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

A PIECE OF METAL EQUIPMENT THAT WAS USED TO PROBE THE KNEE BROKE OFF INSIDE THE PT'S KNEE. SURGEON UNABLE TO RETRIEVE IT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 V MUELLER BE 2847 SURGICAL INSTRUMENT (PROBE) KAK ALLEGIANCE HEALTHCARE CORP. NA *

Patients

Seq Age Sex Outcome Treatment
1 36 YR Other