inforMED
InjuryNBH

THREADED CLEAR CANNULA WITH OBTURATOR

Received Nov 20, 2019 · Event occurred Apr 25, 2019

Report MW5091207 · MDR key 9353966

Device

Generic name

Accessories, Arthroscope - Arthroscope

Manufacturer

Depuy Mitek, Inc.

Lot number

1704128

Product problems

  • Detachment of Device or Device Component

Patient

54 YR

  • Foreign Body In Patient
  • Foreign Body In Patient

Narrative

Description of Event or Problem

PT HAD A RETAINED PLASTIC GASKET FROM A ROTATOR CUFF SURGERY. FDA SAFETY REPORT ID# (B)(4).