BEUDAMED
    FDA Adverse Event Other Summary report: N

    SYNTHES HEXAGONAL SCREWDRIVER

    MDR report key: 58829 · Received December 23, 1996

    Report

    Report Number
    2530088-1996-00007
    Event Type
    Other
    Date Received
    December 23, 1996
    Date of Event
    December 2, 1996
    Report Date
    December 20, 1996
    Manufacturer
    SYNTHES USA
    Product Code
    HXX
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    SCREW DRIVER TIP BROKE IN IMPLANT DURING SURGERY. TIP OF SCREW DRIVER REMAINS IN END CAP (IMPLANT).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SYNTHES HEXAGONAL SCREWDRIVER SCREWDRIVER HXX SYNTHES USA NA A4FL643

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other 459.012=END CAP (IMPLANT)