FDA Adverse Event Injury Summary report: N

ACUTRAK CANNULATED DRILL

MDR report key: 384996 · Received March 25, 2002

Report

Report Number
3025141-2000-00001
Event Type
Injury
Date Received
March 25, 2002
Date of Event
July 18, 2000
Report Date
March 23, 2002
Manufacturer
ACUMED, INC.
Product Code
HTW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DURING AN ACUTRAK SURGERY, THE DRILL TIP BROKE OFF AND WAS LEFT IN THE PATIENT. THE SURGERY WAS COMPLETED SUCCESSFULLY WITH K-WIRES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACUTRAK CANNULATED DRILL SURGICAL INSTRUMENT HTW ACUMED, INC. AT-7032 *

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other