BEUDAMED
    FDA Adverse Event Other Summary report: N

    TIP THREADED GUIDE WIRE FOR ORTHOPEDICS

    MDR report key: 551141 · Received February 26, 2004

    Report

    Report Number
    551141
    Event Type
    Other
    Date Received
    February 26, 2004
    Date of Event
    February 2, 2004
    Report Date
    February 26, 2004
    Manufacturer
    SMITH NEPHEW, INC.
    Product Code
    HXI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VT, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING THE INTERNAL FIXATION OF AN INTERTROCHANTERIC, SUBTROCHANTERIC FX FRACTURE WITH A TROCHANTERIC INTERLOCKED, INTRAMEDULLARY NAIL, THE NURSE NOTICED THE TIP OF THE GUIDE PIN WAS NOT INTACT. SURGEON WAS NOTIFIED. THE TIP IDENTIFIED BUT WAS UNABLE TO BE RETRIEVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TIP THREADED GUIDE WIRE FOR ORTHOPEDICS ORTHOPEDIC GUIDEWIRE HXI SMITH NEPHEW, INC. H435716311901D 03JM05935

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR NO OTHER THERAPIES