FDA Adverse Event
Injury
Summary report: N
PILOT DRILL
MDR report key: 1222510
·
Received November 5, 2008
Report
- Report Number
- 9616696-2008-00073
- Event Type
- Injury
- Date Received
- November 5, 2008
- Date of Event
- September 26, 2008
- Report Date
- October 17, 2008
- Manufacturer
- STRYKER IRELAND LTD.
- Product Code
- HTW
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
DEVICE NOT RETURNED FOR EVALUATION. IT WAS REPORTED THAT THE CUSTOMER RE-USED THE DEVICE AND ADMITTED THAT THE CAUSE OF THE FAILURE MAY HAVE BEEN DUE TO THE DEVICE BEING RE-USED.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING DRILLING OF A BONE IN THE MOUTH THAT THE DRILL BROKE. IT WAS FURTHER REPORTED THAT THE DRILL WAS LEFT IN THE PATIENT'S BONE AND THAT IT WAS EMBEDDED COMPLETELY. IT WAS REPORTED THAT THE DRILL WAS USED PREVIOUSLY, RESTERILIZED AND IT WAS BEING REUSED AT THE TIME OF THE EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PILOT DRILL | DEVICE DRILLS, BURS TREPHINES & ACCESSORIES | HTW | STRYKER IRELAND LTD. | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |