FDA Adverse Event Malfunction Summary report: N

IPC® HANDPIECE - INDIGO¿ DRILL

MDR report key: 13231827 · Received January 11, 2022

Report

Report Number
1045254-2022-00016
Event Type
Malfunction
Date Received
January 11, 2022
Date of Event
June 3, 2021
Report Date
January 11, 2022
Manufacturer
MEDTRONIC XOMED INC.
Product Code
HBE
UDI-DI
00643169882621
PMA / PMN Number
K081475
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ANALYSIS FOUND THAT THE HANDPIECE WAS RECEIVED IN GOOD CONDITION. NO ANOMALIES HAVE BEEN FOUND. NOTE: BOTH HANDPIECES WERE USED ON THE SAME SURGERY, BUT THE CUSTOMER IS NOT ABLE TO DISTINGUISH WHICH ONE OVERHEATED. HENCE, WE'RE SUBMITTING MDRS ON BOTH HANDPIECES. THE HANDPIECES ARE THE FOLLOWING: PRODUCT:1845000, S/N:(B)(4) AND PRODUCT:1845000, S/N:(B)(4). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 0

A HEALTH CARE PROVIDER REPORTED THAT THEY HAD AN ISSUE WITH DRILL NO.1 WAS SCREAMING LOUDLY. IT WAS CLOCKED AT OVER 90 DECIBELS. THEY OPENED THE SECOND ONE, WHICH WHEN DRILLING IN PRETTY HARD BONE WITH A 2MM BUR THE HAND PIECE STARTED TO GET HOT. WHEN THEY USED A 4MM BURR IT SEEMED TO SETTLE. THE DRILL NO.1 (SCREAMER) HAD THE STRAIGHT HAND PIECE ON DURING THE CASE. THERE WAS NO PATIENT IMPACT. ON FOLLOW-UP, IT WAS REPORTED THAT THE HOSPITAL IS NOT ABLE TO IDENTIFY AT THIS LATE STAGE WHICH WAS THE FAULTY ONE AS THEY BOTH HAD AN OUTSTANDING MAINTENANCE ORDER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
803707 IPC® HANDPIECE - INDIGO¿ DRILL DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE HBE MEDTRONIC XOMED INC. 1845000 216574407 00643169882621

Patients

Seq Age Sex Outcome Treatment
1 Unknown