FDA Adverse Event Malfunction Summary report: N

PERCUTANEOUS BURR

MDR report key: 11626062 · Received April 7, 2021

Report

Report Number
3010470577-2021-03061
Event Type
Malfunction
Date Received
April 7, 2021
Date of Event
January 21, 2021
Report Date
April 2, 2021
Manufacturer
IN2BONES SAS
Product Code
GFF
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DURING AN OSTEOTOMY OF THE FOOT, TWO PERCUTANEOUS BURRS USED TO WORK ON THE BONE BROKE. NO CLINICAL CONSEQUENCES FOR THE PATIENT HAVE BEEN REPORTED TO DATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
524854 PERCUTANEOUS BURR PERCUTANEOUS BURR GFF IN2BONES SAS G01 01512 2001089

Patients

Seq Age Sex Outcome Treatment
1 Other