InjuryHXJ
STAPLE DRIVER/ EXTRACTOR/ HXJ
Received Mar 5, 2009 · Event occurred Jan 27, 2009
Report 1020279-2009-00510 · MDR key 1335102
Device
Generic name
Staple Driver/ Extractor/ Hxj
Manufacturer
Brooks Manufacturing SiteModel number
TBL FIX STPL DRVR-EXTRACCatalog number
111130
Lot number
HT05001
Product problems
- Fracture
- Device, or device fragments remain in patient
Patient
75 YR
- Nonresorbable materials, unretrieved in body
Narrative
Description of Event or Problem
IT WAS REPORTED THAT THE DEVICE FRACTURED DURING REMOVAL OF THE STAPLE AND PART OF THE DEVICE WAS LEFT IN THE PT.
Additional Manufacturer Narrative
NA