BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ARTHROSCOPIC GRASPER WITH RATCHET HANDLE

    MDR report key: 39757 · Received September 25, 1996

    Report

    Report Number
    1418479-1996-00011
    Event Type
    Injury
    Date Received
    September 25, 1996
    Date of Event
    August 14, 1996
    Report Date
    August 27, 1996
    Manufacturer
    RICHARD WOLF MEDICAL INSTRUMENTS CORP.
    Product Code
    HRX
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING AN ARTHROSCOPY OF THE KNEE, A PIECE OF MENISCUS WAS BEING REMOVED WHEN THE LOWER JAW OF THE ARTHROSCOPIC GRASPER BROKE OFF INTO THE SURGICAL SITE. ADD'L SURGERY WAS DONE TO REMOVED THE FOREIGN BODY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARTHROSCOPIC GRASPER WITH RATCHET HANDLE ARTHROCOPIC GRASPER HRX RICHARD WOLF MEDICAL INSTRUMENTS CORP. 8403.985 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 27 * Required Intervention