BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ECT INTERNAL FRACTURE FIXATION DRILL

    MDR report key: 2724688 · Received August 30, 2012

    Report

    Report Number
    1822565-2012-01856
    Event Type
    Malfunction
    Date Received
    August 30, 2012
    Date of Event
    July 19, 2012
    Report Date
    August 1, 2012
    Manufacturer
    ZIMMER, INC.
    Product Code
    HTW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

    Description of Event or Problem · 1

    IT IS REPORTED THAT THE DRILL BIT BROKE OFF IN THE PT. THE TIP WAS NOT RETRIEVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ECT INTERNAL FRACTURE FIXATION DRILL TRAUMA INSTRUMENT HTW ZIMMER, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1