INTERTAN 71674076

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2010-10-28 for INTERTAN 71674076 manufactured by Smith-nephew Inc..

Event Text Entries

[8833362] From the analyses conducted during this investigation, it was shown that the t-handle fractured in the 'ear' of the handle in the clamping jaw, likely from static bending or torsional overload. An overload fracture can occur if the mechanical loads applied to the device exceed the strength of the material. No material or manufacturing deviations were found during this investigation.
Patient Sequence No: 1, Text Type: N, H10


[18180965] It was reported that surgery time was extended due to a broken t-handle.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1020279-2010-00306
MDR Report Key1884924
Report Source07
Date Received2010-10-28
Date of Report2011-03-10
Date of Event2010-08-25
Date Mfgr Received2010-10-13
Device Manufacturer Date2009-01-01
Date Added to Maude2010-10-29
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactCHADWICK BROWN
Manufacturer Street1450 BROOKS RD
Manufacturer CityMEMPHIS TN 38116
Manufacturer CountryUS
Manufacturer Postal38116
Manufacturer Phone9013995182
Manufacturer G1SMITH-NEPHEW INC.
Manufacturer Street1450 BROOKS RD
Manufacturer CityMEMPHIS TN 38116
Manufacturer CountryUS
Manufacturer Postal Code38116
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameINTERTAN
Generic NameT-HANDLE
Product CodeLYT
Date Received2010-10-28
Catalog Number71674076
Lot Number09ACT0010
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSMITH-NEPHEW INC.
Manufacturer Address1450 BROOKS ROAD MEMPHIS TN 38116 US 38116


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2010-10-28

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