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