FDA Adverse Event Malfunction Summary report: N

FEHLING CE 2MM NLU-2

MDR report key: 6293431 · Received January 30, 2017

Report

Report Number
MW5067579
Event Type
Malfunction
Date Received
January 30, 2017
Date of Event
January 20, 2017
Report Date
January 30, 2017
Manufacturer
FEHLING INSTRUMENTS GMBH & CO. KG
Product Code
HTX
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
VA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

CERVICAL FEHLING BROKE DURING SURGERY NOTICED IN CSS. PHYSICIAN NOTIFIED. SAW SMALL METAL ON X-RAY. GOT CT SCAN. CONFIRMED METAL RETAINED. OPENED PT AT THE BEDSIDE. REPLACED PIECE OF BROKEN FEHLING. SMALLER THAN PIECE MISSING. ADD'L X-RAYS. NO OTHER METAL SEEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
71278 FEHLING CE 2MM NLU-2 PITUITARY RONGEUR HTX FEHLING INSTRUMENTS GMBH & CO. KG CE 2MM NLU-2

Patients

Seq Age Sex Outcome Treatment
1 62 YR