BEUDAMED
    FDA Adverse Event Other Summary report: N

    DEPUY ORTHOPEDIC CORP

    MDR report key: 556462 · Received November 24, 2004

    Report

    Report Number
    556462
    Event Type
    Other
    Date Received
    November 24, 2004
    Date of Event
    October 12, 2004
    Report Date
    November 7, 2004
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    LXH
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING ORIF OF TIBIA / FIBULA DRILL BIT BROKE IN BONE ON BOTH APO LATERAL FLUORASCOPY WITH SURGICAL ACCESS. PER OPERATIVE REPORT MORE DAMAGE WOULD HAVE BEEN CREATED TO ATTEMPT REMOVAL THEREFORE IT WAS LEFT IN PLACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEPUY ORTHOPEDIC CORP 2.9 DRILL BIT LXH DEPUY ORTHOPAEDICS, INC. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Other