inforMED
MalfunctionGZT

CASPER RETRACTOR, F,/BV460R, OR BV460T

Received May 9, 2003

Report 2916714-2003-00016 · MDR key 459872

Device

Generic name

Retractor

Model number

NA

Catalog number

BV439R

Lot number

NA

Product problems

  • Fracture
  • Material Separation
  • Component Missing

Patient

UNKNOWN

  • Surgery, prolonged
  • Therapy/non-surgical treatment, additional

Narrative

Description of Event or Problem

INITIAL REPORT: DURING A CASE, IT WAS DISCOVERED THAT A SCREW WAS MISSING. IT COULD NOT BE DETERMINED WHEN THE INSTRUMENT FRACTURED. AFTER THE INSTRUMENT WAS NOTED TO BE FRACTURED, X-RAYS WERE TAKEN. SURGERY WAS EXTENDED APPROXIMATELY TWENTY MINUTES. THE INITIAL REPORTER WAS CONTACTED. THE REPORTER ASSUMES THAT THE SCREW WAS NOT LOCATED. THE REPORTER DID NOT HAVE ANY ADDITIONAL INFORMATION AND REQUESTED THAT COMPANY CONTACT THE RISK MANAGER. THE RISK MANAGER WAS CONTACTED, BUT COULD NOT PROVIDE ANY ADDITIONAL INFORMATION.