FDA Adverse Event
Other
Summary report: N
SCARF THREAD-HEAD SCREW
MDR report key: 71403
·
Received February 17, 1997
Report
- Report Number
- 1835231-1997-90001
- Event Type
- Other
- Date Received
- February 17, 1997
- Date of Event
- January 17, 1997
- Report Date
- January 20, 1997
- Manufacturer
- MEDINOV-AMP
- Product Code
- HWC
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
SURGEON WAS FIXATING SHAFT IN FIRST METATARSAL. AFTER DRILLING, HE PULLED THE DRILL OUT AND REALIZED THAT DRILL BIT HAD BROKEN (IT HAD BEEN IN PLACE BY A K-WIRE). DRILL BIT COULD NOT BE REMOVED THE WAY IT HAD GONE IN AND HAD TO BE REMOVED FROM OTHER SIDE OF BONE. PT WAS UNHARMED AND SURGERY CONTINUED ON WITHOUT INCIDENT. SURGEON HAD NOT WATCHED INSTRUCTIONAL VIDEO CONCERNING THE USE OF DEVICE AND ITS INSTRUMENTATION. NURSE WHO WATCHED VIDEO HAD BEEN REASSIGNED TO ANOTHER OR AT THE LAST MINUTE AND NO ONE ATTENDING THE SURGERY IN QUESTION HAD BEEN INSTRUCTED IN THE USE OF THE EQUIPMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SCARF THREAD-HEAD SCREW Implant | BONE FIXATION SCREW | HWC | MEDINOV-AMP | PA248 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Other |