BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DEPUY DRILL BIT

    MDR report key: 1832187 · Received September 7, 2010

    Report

    Report Number
    MW5017338
    Event Type
    Malfunction
    Date Received
    September 7, 2010
    Date of Event
    September 7, 2010
    Report Date
    September 7, 2010
    Manufacturer
    DEPUY ORTHOPAEDICS
    Product Code
    HTW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING A RIGHT TOTAL HIP REPLACEMENT, A DRILL BIT FROM A HIP REVISION SET WAS USED TO DRILL DOWN INTO THE ISTHMUS. APPROXIMATELY 3 CM OF THE END OF THE DRILL BIT BROKE OFF, THIS WAS GRASPED WITH SCHLESINGER RONGEUR AND REMOVED COMPLETELY. THE OPERATIVE PROCEDURE CONTINUED WITHOUT COMPLICATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEPUY DRILL BIT DEPUY DRILL BIT HTW DEPUY ORTHOPAEDICS 2447-26

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR