FDA Adverse Event Injury Summary report: N

UNKNOWN

MDR report key: 2850793 · Received November 15, 2012

Report

Report Number
2850793
Event Type
Injury
Date Received
November 15, 2012
Date of Event
November 5, 2012
Report Date
November 12, 2012
Manufacturer
WRIGHT MEDICAL
Product Code
HTW
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DRILL BIT TIP BROKE OFF IN PT'S FEMUR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNKNOWN DRILL BIT HTW WRIGHT MEDICAL

Patients

Seq Age Sex Outcome Treatment
1 70 YR Other