FDA Adverse Event Malfunction Summary report: N

MIDAS REX

MDR report key: 11176934 · Received January 15, 2021

Report

Report Number
11176934
Event Type
Malfunction
Date Received
January 15, 2021
Date of Event
November 15, 2020
Report Date
January 4, 2021
Manufacturer
MEDTRONIC POWERED SURGICAL SOLUTIONS
Product Code
HBB
Product Problem
Yes
Report Source
User Facility report
Reporter Location
AZ
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

MEDTRONIC POWERED SURGICAL SOLUTIONS MIDAS REX SURGICAL DRILL WAS USED FOR SURGERY. EVERY TIME IT WAS USED, THE PATIENT REFLEXED/JUMPED. A DIFFERENT MIDAS REX SURGICAL DRILL WAS OPENED AND USED AND THE PATIENT DID NOT JUMP/REFLEX ANYMORE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
78259 MIDAS REX MOTOR, DRILL, PNEUMATIC HBB MEDTRONIC POWERED SURGICAL SOLUTIONS

Patients

Seq Age Sex Outcome Treatment
1