FDA Adverse Event Malfunction Summary report: N

ZIMMER M/L TAPER RASP

MDR report key: 3546911 · Received October 23, 2013

Report

Report Number
1822565-2013-01530
Event Type
Malfunction
Date Received
October 23, 2013
Date of Event
September 23, 2013
Report Date
September 25, 2013
Manufacturer
ZIMMER, INC.
Product Code
HTR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT IS REPORTED THAT WHILE REAMING, THE POST OF THE RASP BROKE OFF LEAVING THE RASP LODGED IN THE PATIENT. FURTHER BONE NEEDED TO BE REMOVED BY THE SURGEON TO ACCESS THE REMOVAL HOLD ON THE RASP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
544430 ZIMMER M/L TAPER RASP HTR ZIMMER, INC. 60344962

Patients

Seq Age Sex Outcome Treatment
1