BEUDAMED
    FDA Adverse Event Other Summary report: N

    WIRE BOLT & PIN CUTTER 18 1/2"

    MDR report key: 545566 · Received April 7, 2004

    Report

    Report Number
    1421101-2004-00001
    Event Type
    Other
    Date Received
    April 7, 2004
    Date of Event
    January 29, 2004
    Report Date
    April 7, 2004
    Manufacturer
    INSTRUMENTE OHG BONTEMPI CHIRURGISCHE
    Product Code
    HXZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING A PROCEDURE, A PIN CUTTER BROKE. AN X-RAY WAS DONE, APPARENTLY ALL PIECES WERE RETRIEVED. APPARENTLY, THERE WAS NO INJURY TO THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WIRE BOLT & PIN CUTTER 18 1/2" PIN CUTTER HXZ INSTRUMENTE OHG BONTEMPI CHIRURGISCHE 50-1060 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other