FDA Adverse Event Malfunction Summary report: N

BRASSLER USA ORTHOPAEDIC PIN

MDR report key: 3820362 · Received March 10, 2014

Report

Report Number
2025102-2014-00001
Event Type
Malfunction
Date Received
March 10, 2014
Date of Event
February 5, 2014
Report Date
March 7, 2014
Manufacturer
BRASSELER USA, MEDICAL L.L.C.
Product Code
HTY
PMA / PMN Number
K940109
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Description of Event or Problem · 1

DOCTOR WAS PERFORMING A KNEE REPLACEMENT AND PIN BROKE IN MIDDLE OF CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
143819 BRASSLER USA ORTHOPAEDIC PIN ORTHOPAEDIC PIN HTY BRASSELER USA, MEDICAL L.L.C. NH4HM

Patients

Seq Age Sex Outcome Treatment
1