FDA Adverse Event Injury Summary report: N

BIGLIANI/FLATOW CANNULATED DRILL

MDR report key: 3820020 · Received May 14, 2014

Report

Report Number
1822565-2014-00619
Event Type
Injury
Date Received
May 14, 2014
Date of Event
March 3, 2014
Report Date
April 18, 2014
Manufacturer
ZIMMER INC.
Product Code
HSD
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DRILL BIT BROKE OFF IN THE PT DURING THE COURSE OF OPERATION CAUSING A PNEUMOTHORAX. THE PT RETURNED FOR SURGERY THE FOLLOWING DAY AND THE DRILL BIT WAS REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
288737 BIGLIANI/FLATOW CANNULATED DRILL HSD ZIMMER INC. 62529517

Patients

Seq Age Sex Outcome Treatment
1 79 YR Required Intervention