BEUDAMED
    FDA Adverse Event Other Summary report: N

    DL TAP 6.5MM

    MDR report key: 5495541 · Received March 8, 2016

    Report

    Report Number
    MW5060852
    Event Type
    Other
    Date Received
    March 8, 2016
    Date of Event
    March 7, 2016
    Report Date
    March 8, 2016
    Manufacturer
    NUVASIVE
    Product Code
    HWX
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    DURING PROCEDURE, TIP BROKE OFF AND EMBEDDED INTO PT'S RIGHT SIDE BONE. DR UNABLE TO REMOVE TIP FROM BONE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    144392 DL TAP 6.5MM DL TAP 6.5MM HWX NUVASIVE 8801365 2312

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR