FDA Adverse Event
Injury
Summary report: N
ACRA-CUT
MDR report key: 13798170
·
Received March 16, 2022
Report
- Report Number
- MW5108210
- Event Type
- Injury
- Date Received
- March 16, 2022
- Date of Event
- March 10, 2022
- Report Date
- March 14, 2022
- Manufacturer
- ACRA CUT, INC.
- Product Code
- HBF
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DISPOSABLE CRANIAL PERFORATOR BROKE WHILE IN USE. PORTION THAT BROKE WAS THE CONNECTION INSIDE THE PERFORATOR ATTACHMENT OF STRYKER DRILL SET REMOVED FROM FIELD AND REPLACED. BOTH PIECES RETRIEVED. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 525836 | ACRA-CUT | DRILLS, BURRS, TREPHINES & ACCESSORIES (COMPOUND, POWERED) | HBF | ACRA CUT, INC. | 210-221 | 10134 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 46 YR | Female | Required Intervention |