FDA Adverse Event Malfunction Summary report: N

ROUND DIAMOND BUR, ELITE

MDR report key: 1575430 · Received December 22, 2009

Report

Report Number
9616696-2009-00295
Event Type
Malfunction
Date Received
December 22, 2009
Date of Event
November 24, 2009
Report Date
November 25, 2009
Manufacturer
STRYKER IRELAND LTD.
Product Code
HBE
PMA / PMN Number
K032303
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE BURS SUBJECT TO THIS MDR WERE RETURNED FOR EVALUATION. UPON VISUAL EXAMINATION UNDER MICROSCOPE, IT WAS OBSERVED THAT THERE WAS NO DIFFERENCE IN THE DIAMOND COATING BETWEEN RETURNED PARTS AND NEW PRODUCTS TAKEN FROM STOCK. TESTING WAS PERFORMED ON THE RETURNED PARTS AND IT WAS OBSERVED THAT THERE WERE NO ISSUES WITH CUTTING PERFORMANCE AND THE REPORTED EVENT COULD NOT BE REPLICATED. A FULL DOCUMENTATION REVIEW WAS CARRIED OUT, NO ISSUES WERE IDENTIFIED WHICH MAY HAVE CONTRIBUTED TO THIS ALLEGED EVENT. THE ROOT CAUSE IS UNDETERMINED. ANOTHER PART NUMBER IS ASSOCIATED WITH THIS MDR AS FOLLOWS; 5820-012-040; LOT NO. 09286017; EXPIRY OCT 2014.

Description of Event or Problem · 1

IT WAS REPORTED DURING A MASTOIDECTOMY SURGICAL PROCEDURE THAT THE BURS WERE DULL. IT WAS ALSO REPORTED THAT THIS EVENT DID NOT IMPACT THE PT'S OUTCOME. IT WAS FURTHER REPORTED THAT OTHER BURS WERE READILY AVAILABLE AND THE PROCEDURE WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ROUND DIAMOND BUR, ELITE DRILLS, BURS, TREPHINES & ACCESSORIES HBE STRYKER IRELAND LTD. 09282017

Patients

Seq Age Sex Outcome Treatment
1 UNK