FDA Adverse Event Injury Summary report: N

ARTHREX 5.5 MM CUTTER

MDR report key: 2982680 · Received February 21, 2013

Report

Report Number
MW5029139
Event Type
Injury
Date Received
February 21, 2013
Date of Event
February 14, 2013
Report Date
February 21, 2013
Manufacturer
ARTHREX INC
Product Code
HRX
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
KY, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

ORTHOPEDIC SURGEON WAS USING A SCOPE DURING A PROCEDURE AND THE ARTHREX SHAVER BEGAN MAKING AN UNUSUAL NOISE. THE SHAVER WAS WITHDRAWN AND THE TIP OF THE DISPOSABLE PORTION WAS NOTED TO HAVE A PART OF THE METAL BROKEN OFF. SHAVER REPLACED AND SURGERY CONTINUED AFTER REMOVAL OF METAL FRAGMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
75759 ARTHREX 5.5 MM CUTTER BONE SHAVER HRX ARTHREX INC A818421

Patients

Seq Age Sex Outcome Treatment
1 63 YR Required Intervention