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 |