BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ANTERIOR CRUCIATE LIGAMENT PASSING PIN

    MDR report key: 28152 · Received November 17, 1995

    Report

    Report Number
    MW1007705
    Event Type
    Malfunction
    Date Received
    November 17, 1995
    Date of Event
    October 31, 1995
    Report Date
    November 10, 1995
    Manufacturer
    ACUFEX MICROSURGICAL, INC.
    Product Code
    HXI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    AFTER DRILLING, THE DR NOTED THAT THE ANTERIOR CRUCIATE LIGAMENT PASSING PIN WAS SHORTER AND THE TIP WAS MISSING; PIN TIP RETRIEVED FROM PT'S KNEE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANTERIOR CRUCIATE LIGAMENT PASSING PIN PASSING PIN HXI ACUFEX MICROSURGICAL, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 23 YR Other