BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SYNTHES QUICK COUPLING DRILL BIT

    MDR report key: 1520344 · Received October 29, 2009

    Report

    Report Number
    MW5013272
    Event Type
    Injury
    Date Received
    October 29, 2009
    Date of Event
    October 23, 2009
    Report Date
    October 29, 2009
    Manufacturer
    SYNTHES, INC
    Product Code
    HTW
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING SURGERY FOR HAMMER TOE AND BUNIONS, A 1.5 DRILL BIT BROKE OFF IN A PT'S RIGHT 2ND METATARSAL BONE. APPROXIMATELY .5 INCH OF THE DRILL WAS LEFT IN THE BONE. THE SURGEON DETERMINED THE DRILL BIT PIECE WAS UNRETRIEVABLE. NEW DRILL BIT. DIAGNOSIS: SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SYNTHES QUICK COUPLING DRILL BIT DRILL BIT, 1.5MM HTW SYNTHES, INC UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR