BEUDAMED
    FDA Adverse Event Other Summary report: N

    DRILL BIT 2.5

    MDR report key: 722784 · Received May 4, 2006

    Report

    Report Number
    722784
    Event Type
    Other
    Date Received
    May 4, 2006
    Date of Event
    May 4, 2006
    Report Date
    May 4, 2006
    Manufacturer
    SYNTHES USA, INC.
    Product Code
    HTW
    Report Source
    User Facility report
    Reporter Location
    NC, US

    Narratives

    Description of Event or Problem · 1

    ORTHOPEDIC SURGEON PERFORMING TOTAL SHOULDER REPLACEMENT USING SYNTHES DRILL BIT, WHEN END OF DRILL BIT BROKE OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DRILL BIT 2.5 DRILL BIT, SURGICAL HTW SYNTHES USA, INC. 310.25 *

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR