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 |