MalfunctionHWI
CORKSCREW INSTRUMENT
Received Mar 3, 2022 · Event occurred Feb 10, 2022
Report MW5107889 · MDR key 13666933
Device
Product problems
- Break
Patient
39 YR · Female
- Foreign Body In Patient
- Foreign Body In Patient
Narrative
Description of Event or Problem
(B)(6) 71-5210 100221 CORKSCREW INSTRUMENT AND IT BROKE INTO 2 PIECES INSIDE PATIENT'S PELVIS. BOTH PIECES WERE RETRIEVED WITH NO COMPLICATIONS OR HARM TO PATIENT. (B)(6). FDA SAFETY REPORT ID# (B)(4).