FDA Adverse Event
Malfunction
Summary report: N
COLS
MDR report key: 7018410
·
Received November 10, 2017
Report
- Report Number
- 3003898228-2017-00012
- Event Type
- Malfunction
- Date Received
- November 10, 2017
- Date of Event
- August 2, 2017
- Report Date
- November 10, 2017
- Manufacturer
- FH INDUSTRIE
- Product Code
- LXH
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PLUSIEURS INCOMPATIBILITÉS ENTRE DES POIGNÉES UNIVERSELLES (RÉF(B)(4)) DU VISEUR TLS ET DES CROCHETS POINTE À POINTE TIBIAUX (RÉF (B)(4)) OU FÉMORAUX (RÉF (B)(4)) ONT ÉTÉ SIGNALÉES : LORS DE LA VISÉE, IL EXISTE UN DÉCALAGE ENTRE LA POINTE DE LA BROCHE ET LA POINTE DU CROCHET. SEVERAL INCOMPATIBILITIES BETWEEN THE TLS UNIVERSAL GUIDE HANDLE (REF (B)(4)) AND THE TIBIAL (REF (B)(4)) OR FEMORAL (REF (B)(4)) GUIDE POINT TO POINT HAVE BEEN NOTICED: THERE IS AN OFFSET BETWEEN THE TIP OF THE PIN AND THE TIP OF THE TIBIAL OR FEMORAL GUIDE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 799795 | COLS | UNIVERSAL GUIDE | LXH | FH INDUSTRIE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |