FDA Adverse Event
Malfunction
Summary report: N
ROUND BUR
MDR report key: 1881912
·
Received October 6, 2010
Report
- Report Number
- 9616696-2010-00298
- Event Type
- Malfunction
- Date Received
- October 6, 2010
- Date of Event
- September 15, 2010
- Report Date
- September 15, 2010
- Manufacturer
- STRYKER IRELAND LTD.
- Product Code
- HBF
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE SUBJECT TO THIS INVESTIGATION WAS RETURNED FOR EVAL TO THE MFG SITE. IT WAS VISUALLY CONFIRMED THAT THE PACKAGING WAS DAMAGED AND THE BUR WAS BENT. THE MFG HISTORY RECORDS WERE REVIEWED, NO ISSUES WERE IDENTIFIED WHICH MAY HAVE CONTRIBUTED TO THIS EVENT. THE LABEL FOR THIS DEVICE HAS A SYMBOL INDICATING "STERILE ONLY IF PACKAGE IS UNOPENED AND UNDAMAGED". THE ROOT CAUSE IS UNDETERMINED.
Description of Event or Problem · 1
IT WAS REPORTED THE PACKAGING AND THE BUR WAS DAMAGED RESULTING IN A BREACH TO THE STERILE BARRIER. IT WAS ALSO REPORTED THAT THE BUR WAS NOT USED ON A PT AND THE STERILE AREA WAS NOT COMPROMISED. IT WAS FURTHER REPORTED ANOTHER BUR WAS READILY AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ROUND BUR | DRILLS, BURS, TREPHINES & ACCESSORIES | HBF | STRYKER IRELAND LTD. | 07199017 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |