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