BEUDAMED
    FDA Adverse Event Injury Summary report: N

    K-WIRE 3-4MM

    MDR report key: 3660741 · Received February 27, 2014

    Report

    Report Number
    MW5034785
    Event Type
    Injury
    Date Received
    February 27, 2014
    Date of Event
    February 3, 2014
    Report Date
    February 26, 2014
    Product Code
    LXH
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THREE TO FOUR MILLIMETERS OF K-WIRE BROKE OFF AND REMAINED IN THE PATIENT DURING PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    122635 K-WIRE 3-4MM K-WIRE FROM CANNULATED SET LXH SYNTHES 4.0 CANNULATED SET

    Patients

    Seq Age Sex Outcome Treatment
    1 26 YR Other