FDA Adverse Event Other Summary report: N

BIO-TENODESIS SCREW WITH HANDLED INSERTER, 3MM X 8MM

MDR report key: 909832 · Received September 7, 2007

Report

Report Number
1220246-2007-00181
Event Type
Other
Date Received
September 7, 2007
Date of Event
August 8, 2007
Report Date
August 10, 2007
Manufacturer
ARTHREX, INC.
Product Code
MBI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE HAS BEEN RECEIVED AND EVALUATION IS IN PROGRESS. A FOLLOW UP REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE IMPLANT SPLIT ALONG THE DRIVER UPON INSERTION. THE SURGEON COMPLETED THE TENDON TRANSFER PROCEDURE USING A DIFFERENT IMPLANT. THE SURGERY WAS DELAYED OVER 30 MINUTES, BUT NO ADVERSE CONSEQUENCES WERE REPORTED FROM THIS EVENT. THIS IS THE FIRST OF TWO REPORTS SUBMITTED FOR THIS EVENT. THIS DEVICE IS USED FOR TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BIO-TENODESIS SCREW WITH HANDLED INSERTER, 3MM X 8MM DRIVER FOR BIO-TENODESIS SCREW MBI ARTHREX, INC. NA 92608

Patients

Seq Age Sex Outcome Treatment
1 YR Other