FDA Adverse Event
Malfunction
Summary report: N
ZIMMER NATURAL NAIL CM LAG SCREW REAMER
MDR report key: 3980247
·
Received July 2, 2014
Report
- Report Number
- 1822565-2014-00816
- Event Type
- Malfunction
- Date Received
- July 2, 2014
- Report Date
- June 3, 2014
- Manufacturer
- ZIMMER, INC.
- Product Code
- HSB
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETED.
Description of Event or Problem · 1
IT IS REPORTED THAT THE TIP OF THE INSTRUMENT WAS NOTED TO BE FRACTURED AFTER THE SURGERY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 387033 | ZIMMER NATURAL NAIL CM LAG SCREW REAMER | HSB | ZIMMER, INC. | 62223935 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |