inforMED
MalfunctionMDM

FUKUDA RETRACTOR

Received Jul 30, 2021 · Event occurred Jul 13, 2021

Report MW5102890 · MDR key 12259956

Device

Generic name

Instrument, Manual, Surgical, General Use

Product problems

  • Break

Patient

51 YR

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

CONMED FUKUDA RETRACTOR BROKE DURING SURGERY WHILE MD WAS USING IT. BOTH PIECES OF THE INSTRUMENT WERE RETRIEVED AND GIVEN TO THE OPERATING ROOM SUPERVISOR. FDA SAFETY REPORT ID # (B)(4).