BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MORELAND CURRETTE

    MDR report key: 37162 · Received September 9, 1996

    Report

    Report Number
    MW4001481
    Event Type
    Malfunction
    Date Received
    September 9, 1996
    Date of Event
    August 31, 1995
    Report Date
    September 7, 1995
    Manufacturer
    DEPUY, INC.
    Product Code
    FZS
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NC, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE END OF A CURETTE BROKE OFF DURING USE IN THE FEMORAL CANAL. UNABLE TO FIND THE END OF THE CURETTE. X-RAY SHOWS DISTAL TO THE COMPONENT OF THE HIP PROSTHESIS WITHIN THE CEMENT IS A METALLIC DENSITY FRAGMENT MEASURING 6 X 3 MM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MORELAND CURRETTE Implant CURRETTE FZS DEPUY, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR