FDA Adverse Event Other Summary report: N

SYNTHES HEXAGONAL SCREWDRIVER

MDR report key: 55175 · Received December 6, 1996

Report

Report Number
2530088-1996-00006
Event Type
Other
Date Received
December 6, 1996
Report Date
December 5, 1996
Manufacturer
SYNTHES USA
Product Code
HXX
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

TIP OF SCREWDRIVER BROKE INSIDE OF END CAP (IMPLANT SEE D-10), AND REMAINS IN PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNTHES HEXAGONAL SCREWDRIVER SCREWDRIVER HXX SYNTHES USA NA NA

Patients

Seq Age Sex Outcome Treatment
1 26 YR Other END CAP (IMPLANT)-459.012