FDA Adverse Event Malfunction Summary report: N

TFN REAMER

MDR report key: 4033891 · Received August 21, 2014

Report

Report Number
4033891
Event Type
Malfunction
Date Received
August 21, 2014
Date of Event
August 18, 2014
Report Date
August 21, 2014
Manufacturer
SYNTHES INC
Product Code
GEY
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MN, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

THE PATIENT WAS UNDERGOING A INTRAMEDULLARY FIXATION OF THE LEFT FEMORAL NECK FRACTURE. WHILE THE DOCTOR WAS USING A TFN (TITANIUM TROCHANTERIC FIXATION NAIL SYSTEM) REAMER, THE TIP OF THE REAMER BROKE. TWO PIECES WERE REMOVED. THE BROKEN REAMER WAS REPLACED WITH A NEW ONE AND THE PROCEDURE CONTINUED WITH NO ADVERSE OUTCOME TO THE PATIENT. THE BROKEN REAMER WAS TERMINALLY CLEANED AND GIVEN TO THE SYNTHES SALES REPRESENTATIVE AFTER THE PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
505376 TFN REAMER MOTOR, SURGICAL INSTRUMENT, AC-POWERED GEY SYNTHES INC * *

Patients

Seq Age Sex Outcome Treatment
1 94 YR