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 |