FDA Adverse Event Malfunction Summary report: N

*

MDR report key: 2771347 · Received August 27, 2012

Report

Report Number
2771347
Event Type
Malfunction
Date Received
August 27, 2012
Date of Event
January 27, 2012
Report Date
August 27, 2012
Manufacturer
ARTHREX
Product Code
HRX
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MI, US

Narratives

Description of Event or Problem · 1

DURING ARTHROSCOPIC PROCEDURE ON PATIENT'S LEFT SHOULDER, ARTHREX SHAVER WAS USED. METAL SHAVINGS WERE NOTED IN THE JOINT AFTER SHAVING. SURGEON CONCERNED WITH COMPROMISED PATIENT CARE. JOINT WASHED OUT THOROUGHLY WITH 0.9 NORMAL SALINE. NO HARM TO PATIENT. DEVICE NOT RECEIVED BY CLINICAL ENGINEERING. IF RECEIVED WILL RETURN TO MANUFACTURER FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * SHAVER, ARTHROSCOPY HRX ARTHREX * *

Patients

Seq Age Sex Outcome Treatment
1 64 YR