BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DANDY 8 1/2' STRAIGHT

    MDR report key: 782183 · Received November 2, 2006

    Report

    Report Number
    782183
    Event Type
    Malfunction
    Date Received
    November 2, 2006
    Date of Event
    October 16, 2006
    Report Date
    November 2, 2006
    Manufacturer
    CARDINAL HEALTH
    Product Code
    GZX
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CO, US

    Narratives

    Description of Event or Problem · 1

    DURING OPERATION THE SCRUB TECH ASKED FOR ANOTHER NERVE HOOK AS THE ONE HE WAS USING HAD "BROKEN." THE TIP OF THE HOOK HAD FALLEN OFF. THE SCRUB TECH INDICATED IT HAD FALLEN ONTO THE FLOOR. THE FLOOR WAS SEARCHED, UNABLE TO LOCATE TIP. X-RAY TAKEN, NO METAL FOREIGN OBJECTS FOUND ON EXAMINATION OF X-RAY. UNKNOWN WHAT HAPPENED TO TIP. EQUIPMENT REMOVED FROM SERVICE AND A NEW NERVE HOOK OBTAINED. NO INJURY TO PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DANDY 8 1/2' STRAIGHT HOOK, NERVE GZX CARDINAL HEALTH NL 2491 *

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR