BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ZIMMER NATURAL NAIL CALIBRATED DRILL

    MDR report key: 2960457 · Received January 25, 2013

    Report

    Report Number
    1822565-2013-00181
    Event Type
    Malfunction
    Date Received
    January 25, 2013
    Date of Event
    December 19, 2012
    Report Date
    December 28, 2012
    Manufacturer
    ZIMMER, INC.
    Product Code
    HTW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    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 TIP OF THE DRILL BROKE DURING SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    35415 ZIMMER NATURAL NAIL CALIBRATED DRILL HTW ZIMMER, INC. 61584104

    Patients

    Seq Age Sex Outcome Treatment
    1