FDA Adverse Event
Malfunction
Summary report: N
MIDAS REX
MDR report key: 12127478
·
Received July 7, 2021
Report
- Report Number
- 12127478
- Event Type
- Malfunction
- Date Received
- July 7, 2021
- Date of Event
- June 4, 2021
- Report Date
- June 22, 2021
- Manufacturer
- MEDTRONIC POWERED SURGICAL SOLUTIONS
- Product Code
- HBC
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- AZ
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
THE MIDAS REX¿ LEGEND EHS STYLUS HIGH-SPEED SURGICAL DRILL WITH MEDTRONIC MIDAS REX AVS15 15CM VARIABLE EXPOSURE STRAIGHT SMALL BORE ATTACHMENT WERE RETURNED TO CENTRAL STERILE PROCESSING DEPARTMENT WITH REPAIR TAG "COMPLAINT WAS OVERHEATING." REPLACEMENT MIDAS REX DRILL WAS AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1029090 | MIDAS REX | MOTOR, DRILL, ELECTRIC | HBC | MEDTRONIC POWERED SURGICAL SOLUTIONS | EM200 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 19710 DA |