FDA Adverse Event
Injury
Summary report: N
PRESSURE SENTINEL INTRAMEDULLARY REAMING SYSTEM FLEXIBLE REA
MDR report key: 460615
·
Received May 14, 2003
Report
- Report Number
- 1822565-2003-00071
- Event Type
- Injury
- Date Received
- May 14, 2003
- Date of Event
- April 3, 2003
- Report Date
- April 7, 2003
- Manufacturer
- ZIMMER, INC.
- Product Code
- HTO
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
SURGEON PROCEEDED TO PERFORM INITIAL REAMING OF TIBIAL CANAL FOR AN MDN NAIL USING 8.0 MM REAMER. REAMER SHATTERED INTO MULTIPLE FRAGMENTS IN PROXIMAL TIBIAL CANAL. ALMOST ALL OF THE FRAGMENTS WERE RETRIEVED WITH A FEW REMAINING BEHIND. MDN NAIL SURGERY COMPLETED WITHOUT FURTHER INCIDENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PRESSURE SENTINEL INTRAMEDULLARY REAMING SYSTEM FLEXIBLE REA | FLEXIBLE REAMER | HTO | ZIMMER, INC. | NA | 73228100 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 34 YR | Hospitalization| R |