FDA Adverse Event Injury Summary report: N

SAWBLADES

MDR report key: 3229145 · Received July 16, 2013

Report

Report Number
3002806535-2013-00129
Event Type
Injury
Date Received
July 16, 2013
Date of Event
June 17, 2013
Report Date
October 18, 2013
Manufacturer
BIOMET UK LTD.
Product Code
DZH
PMA / PMN Number
PEXEMPT
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRODUCT WAS RETURNED AND EVALUATED. THE EVALUATION CONFIRMED THAT THE SAW BLADES IN THE KIT COULD ONLY BE USED FOR A CEMENTED PROCEDURE. THE SAWBLADES ARE GENERIC AND ARE CURRENTLY BEING EXCHANGED TO THE CORRECT VERSIONS. THIS IS 2 OF 2 MDR REPORTS SUBMITTED FOR THE SAME EVENT. SEE ALSO: 3002806535-2013-00128.

Additional Manufacturer Narrative · 1

THE USER FACILITY IS OUTSIDE OF THE UNITED STATES. NO MEDWATCH REPORT WAS RECEIVED. NO PATIENT INJURY WAS REPORTED. NO PRODUCT HAS BEEN RETURNED. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. NO FURTHER COMPLICATIONS HAVE BEEN REPORTED. MANUFACTURE DATE - UNKNOWN. THIS IS 2 OF 2 MDRS RELATING TO THE SAME REPORTED EVENT. PLEASE ALSO SEE MDR: 3002806535-2013-00128.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A KNEE PROCEDURE ON (B)(6) 2013, AN OXFORD SHORT ROD INSTRUMENT AND THE CORRECT SAW BLADES WERE MISSING FROM THE LOANER KIT WHICH RESULTED IN A 30-45 MINUTE DELAY IN SURGERY. NO PATIENT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
328289 SAWBLADES BLADE, SAW, GENERAL AND PLASTIC SURGERY DZH BIOMET UK LTD. N/A UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R