inforMED
MalfunctionOUR

TRIDENT TRAY

Received Jan 9, 2023

Report MW5114246 · MDR key 16132245

Device

Generic name

Sacroiliac Joint Fixation

Model number

03-05 REV A

Lot number

AC237AA

Product problems

  • Break

Patient

Female

  • Foreign Body In Patient
  • Foreign Body In Patient

Narrative

Description of Event or Problem

AMW SCREWDRIVER TIP BROKE OFF IN PT WHILE USING IT. DR (B)(6) WAS ABLE TO REMOVE ALL PIECES AND PARTS FROM PT.