BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MINI MAGNA-FX CANNULATED SCREW

    MDR report key: 2822816 · Received November 2, 2012

    Report

    Report Number
    1822565-2012-02254
    Event Type
    Malfunction
    Date Received
    November 2, 2012
    Date of Event
    October 4, 2012
    Report Date
    October 4, 2012
    Manufacturer
    ZIMMER, INC.
    Product Code
    HWC
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    BE
    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 SCREW THREAD IS BENT AND CAN NOT BE USED WITH THE PIN. A DIFFERENT SCREW WAS IMPLANTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MINI MAGNA-FX CANNULATED SCREW HWC ZIMMER, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1