BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRIM-IT

    MDR report key: 855200 · Received May 7, 2007

    Report

    Report Number
    855200
    Event Type
    Malfunction
    Date Received
    May 7, 2007
    Date of Event
    May 2, 2007
    Report Date
    May 7, 2007
    Manufacturer
    ARTHREX ARTHROSCOPY INSTRUMENTS, INC.
    Product Code
    HTW
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US

    Narratives

    Description of Event or Problem · 1

    AS THE SURGEON WAS POSITIONING THE PIN, THE TIP OF THE PIN FELL OFF. THE TIP WAS RECOVERED AND NO FOREIGN BODY WAS RETAINED IN THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRIM-IT DRILL PIN, ORTHOPEDIC HTW ARTHREX ARTHROSCOPY INSTRUMENTS, INC. * 91141

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR