inforMED
MalfunctionHTO

UNIVERSAL DRIVER SHAFT

Received Mar 28, 2006 · Event occurred Mar 14, 2006

Report 2249697-2006-00027 · MDR key 694491

Device

Generic name

Instrument

Model number

NA

Catalog number

2107-1015

Lot number

FZM5710

Product problems

  • Device, or device fragments remain in patient

Patient

UNKNOWN

  • Nonresorbable materials, unretrieved in body

Narrative

Description of Event or Problem

THE CUSTOMER REPORTED THAT THE END OF THE PRODUCT SHEARED OFF AND WAS LEFT IN PT.