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