BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPUY 25 DRILL BIT

    MDR report key: 10762481 · Received October 29, 2020

    Report

    Report Number
    MW5097563
    Event Type
    Injury
    Date Received
    October 29, 2020
    Date of Event
    October 27, 2020
    Report Date
    October 28, 2020
    Manufacturer
    DEPUY SYNTHES, INC.
    Product Code
    HTW
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING SURGERY THE TIP OF THE DRILL BIT BROKE OFF IN THE RIGHT ANKLE BONE AND WAS UNABLE TO RETRIEVED. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1219258 DEPUY 25 DRILL BIT BIT, DRILL HTW DEPUY SYNTHES, INC. 25 DRILL BIT

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR Other