MAUDE MDR 981890

MDR report key
981890
Report number
MW5005004
Event key
0
Event type
3
Date of event
2007-12-18
Date received
2008-01-15
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1EZ WRAPEZ WRAP CASTING MATERIALPROFESSIONAL PRODUCTSITGOOEZ4-LNONENR

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12008-01-150

Event Narratives#

D

Patient 1

WHEN SURGEON WAS OPENING CASTING MATERIAL TO USE IN PT - HE DISCOVERED A PIN-LINE OBJECT MEASURING ABOUT 1" LONG (SILVER COLORED) WITH BLUNT ENDS. PATIENT WAS NOT INJURED. COMPANY WAS NOTIFIED.