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Adverse Event Report

ACUMED MINI-ACUTRAK SCREW DRIVER FOR ORTHOPEDIC USE   back to search results
Model Number ATM-080, HD0015, 041796AA
Patient Outcome  Hospitalization;
Event Description

Tip of screwdriver broke off in patella during surgery.

 
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Brand NameMINI-ACUTRAK
Type of DeviceSCREW DRIVER FOR ORTHOPEDIC USE
Baseline Brand NameMINI-ACUTRAK
Baseline Generic NameORTHOPEDIC INSTRUMENT
Baseline Catalogue NumberHD0015
Other Baseline ID NumberATM-080 (HANDLE)
Baseline Device FamilyACUTRAK SOLID HEX DRIVERS
Baseline Device 510(K) Number
Baseline Device PMA Number
Baseline Preamendment? No
Transitional? No
510(K) Exempt? Yes
Shelf Life(Months)NA
Date First Marketed05/05/1995
Manufacturer (Section D)
ACUMED
*
Device Event Key408104
MDR Report Key419060
Event Key396324
Report NumberMW1026274
Device Sequence Number1
Product CodeHTW
Report Source Voluntary
Report Date 09/24/2002
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received09/24/2002
Is This An Adverse Event Report? No
Is This A Product Problem Report? Yes
Device Operator Health Professional
Device MODEL NumberATM-080, HD0015, 041796AA
Device Catalogue Number122895AA
Was Device Available For Evaluation? Yes
Is the Device an Implant? No
Is this an Explanted Device? No Answer Provided

Database last updated on January 30, 2009

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