BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UNK ZIMMER NCB DRILL BIT

    MDR report key: 4172359 · Received October 9, 2014

    Report

    Report Number
    1822565-2014-01307
    Event Type
    Malfunction
    Date Received
    October 9, 2014
    Date of Event
    September 10, 2014
    Report Date
    September 10, 2014
    Manufacturer
    ZIMMER, INC.
    Product Code
    HTW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THIS REPORT WILL BE AMENDED WHEN OUT INVESTIGATION IS COMPLETE.

    Description of Event or Problem · 1

    IT IS REPORTED THAT THE DRILL BIT FRACTURED. THE FRACTURED PORTION REMAINS IN THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    636804 UNK ZIMMER NCB DRILL BIT TRAUMA INSTRUMENT HTW ZIMMER, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1