FDA Adverse Event
Malfunction
Summary report: N
FLIPCUTTER II
MDR report key: 3033423
·
Received March 12, 2013
Report
- Report Number
- 3033423
- Event Type
- Malfunction
- Date Received
- March 12, 2013
- Date of Event
- March 11, 2013
- Report Date
- March 12, 2013
- Manufacturer
- ARTHREX, INC.
- Product Code
- HRX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CO, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
ARTHREX FLIPCUTTER (11MM) BROKE IN HALF WHILE BEING USED ON A PATIENT.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?RIGHT KNEE SURGERY.DEVICE #1IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 104364 | FLIPCUTTER II | ARTHROSCOPE | HRX | ARTHREX, INC. | * | 302439227 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 41 YR |