BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    5" FIXATOR PIN

    MDR report key: 548724 · Received April 8, 2004

    Report

    Report Number
    1723170-2004-00001
    Event Type
    Malfunction
    Date Received
    April 8, 2004
    Report Date
    April 7, 2004
    Manufacturer
    MEDTRONIC SURGICAL NAVIGATION TECHNOLOGIES
    Product Code
    LXH
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    5" ORTHO FIX PIN BROKE OFF IN PT'S FEMUR DURING SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 5" FIXATOR PIN IGS ORTHOPAEDIC INSTRUMENT LXH MEDTRONIC SURGICAL NAVIGATION TECHNOLOGIES 9730477 200311031363

    Patients

    Seq Age Sex Outcome Treatment
    1 *