BEUDAMED
    FDA Adverse Event Other Summary report: N

    MICRO AIRE

    MDR report key: 317669 · Received February 23, 2001

    Report

    Report Number
    MW1021175
    Event Type
    Other
    Date Received
    February 23, 2001
    Date of Event
    January 24, 2001
    Report Date
    February 23, 2001
    Manufacturer
    MICRO AIRE/SURGICAL INSTRUMENTS
    Product Code
    HRX
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT UNDERGOING ARTHROSCOPIC ANKLE SURGERY DURING WHICH A SMALL CURRETTE BROKE WITHIN THE MEDIAL JOINT SPACE WHILE CURETTING CARTILAGE. CURRETTE RETRIEVED IN ITS ENTIRETY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    7420 MICRO AIRE K-WIRE WITH WIRE GUIDE DUAL TROCAR HRX MICRO AIRE/SURGICAL INSTRUMENTS 1600-1022 020046425

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Other