FDA Adverse Event
Injury
Summary report: N
GRASPER, ALLIGATOR MAX
MDR report key: 4123561
·
Received September 26, 2014
Report
- Report Number
- 1020279-2014-00593
- Event Type
- Injury
- Date Received
- September 26, 2014
- Date of Event
- September 2, 2014
- Report Date
- September 19, 2014
- Manufacturer
- SMITH & NEPHEW, INC.
- Product Code
- HRX
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4)
Description of Event or Problem · 1
IT WAS REPORTED THAT SURGERY WAS EXTENDED GREATER THAN 30 MINUTES.
Description of Event or Problem · 1
THE TIP END OF THE PUNCH BROKE DURING SURGERY MENISCECTOMY. THE METALLIC PIECE COULD NOT BE REMOVED AND REMAINED IN THE KNEE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 600280 | GRASPER, ALLIGATOR MAX | ARTHROSCOPE AND ACCESSORIES | HRX | SMITH & NEPHEW, INC. | 011024 | 1798 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| R |