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 |