FDA Adverse Event Injury Summary report: N

PERFORATOR BIT LARGE 14/11MM

MDR report key: 1133130 · Received August 22, 2008

Report

Report Number
9616696-2008-00041
Event Type
Injury
Date Received
August 22, 2008
Date of Event
July 28, 2008
Report Date
July 28, 2008
Manufacturer
STRYKER IRELAND LTD.
Product Code
HBF
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE NOT RETURNED FOR EVAL.

Description of Event or Problem · 1

IT WAS REPORTED THAT WHILE THE SURGEON WAS USING THE PERFORATOR BIT, THE PATIENT'S DURA WAS NICKED. IT WAS FURTHER REPORTED THAT A DURA PLASTY WAS CARRIED OUT ON THE PT TO REPAIR THIS NICK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PERFORATOR BIT LARGE 14/11MM DRILLS, BURS, TREPHINES & ACCESSORIES HBF STRYKER IRELAND LTD. 08141017

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention