MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2007-08-17 for PROFIX 71512452 manufactured by Smith & Nephew, Inc., Orthopaedic Div.
[674108]
It was reported that the mallet broke during surgery, which left debris in the surgical field. Surgery was extended 30-40 minutes while the debris was removed.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1020279-2007-00190 |
| MDR Report Key | 898364 |
| Report Source | 07 |
| Date Received | 2007-08-17 |
| Date of Report | 2007-08-17 |
| Date of Event | 2007-07-06 |
| Date Mfgr Received | 2007-07-17 |
| Date Added to Maude | 2007-08-22 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | MS. LINDSAY CUMMINGS, SPECIALIST II |
| Manufacturer Street | 1450 BROOKS RD. |
| Manufacturer City | MEMPHIS TN 38116 |
| Manufacturer Country | US |
| Manufacturer Postal | 38116 |
| Manufacturer Phone | 9013995946 |
| Manufacturer G1 | SMITH & NEPHEW, INC. |
| Manufacturer Street | 1450 BROOKS RD. |
| Manufacturer City | MEMPHIS TN 38116 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 38116 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PROFIX |
| Generic Name | MALLET |
| Product Code | HXL |
| Date Received | 2007-08-17 |
| Model Number | NA |
| Catalog Number | 71512452 |
| Lot Number | UNK |
| ID Number | NA |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Implant Flag | N |
| Date Removed | B |
| Device Sequence No | 1 |
| Device Event Key | 875769 |
| Manufacturer | SMITH & NEPHEW, INC., ORTHOPAEDIC DIV |
| Manufacturer Address | 1450 BROOKS RD. MEMPHIS TN 38116 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2007-08-17 |