BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPTH GUAGE SCREW

    MDR report key: 3174653 · Received June 12, 2013

    Report

    Report Number
    MW5030547
    Event Type
    Injury
    Date Received
    June 12, 2013
    Date of Event
    May 18, 2013
    Report Date
    June 12, 2013
    Manufacturer
    SYNTHES INC
    Product Code
    HWC
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING PLACEMENT OF THE MEDIAL PLATE A SHAFT SCREW WAS APPLIED WHICH WAS APPROXIMATELY A CENTIMETER TOO LONG. A LONG SCREW WAS PLACED ATTRIBUTABLE TO A DEPTH GAUGE WHICH WAS ASSEMBLED INAPPROPRIATELY. PT SUSTAINED A RADIAL NERVE INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    265930 DEPTH GUAGE SCREW GUAGE SCREW HWC SYNTHES INC UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Disability