BEUDAMED
    FDA Adverse Event Death Summary report: N

    THREADED STEINMANN PIN 7/64"

    MDR report key: 87163 · Received April 22, 1997

    Report

    Report Number
    2529767-1997-00005
    Event Type
    Death
    Date Received
    April 22, 1997
    Date of Event
    March 20, 1997
    Report Date
    April 21, 1997
    Manufacturer
    ZIMMER, INC.
    Product Code
    HTY
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT WAS ADMITTED FOR ANOTHER CO'S OF THE DISTAL HUMEROUS. SURGEON USED ANOTHER CO'S CANNULATED SCREW AND CO 7/64" THREADED PIN. A DAY OR TWO LATER, X-RAYS REVEALED THAT BOTH THE SCREW AND THE PIN HAD BROKEN. THE SURGEON REMOVED BOTH ITEMS AND REPLACED THEM. THE 7/64" PIN WAS DISPOSED OF AT THE HOSP. SURGEON WAS NOT USING PIN AS A GUIDE WIRE-HE WAS USING IT AS A FIXATION PIN WITH ANOTHER CO'S SCREW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 THREADED STEINMANN PIN 7/64" Implant 7/64" THREADED PIN HTY ZIMMER, INC. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Death| O| R