FDA Adverse Event Injury Summary report: N

PERFORATOR BIT LARGE 14/11MM

MDR report key: 1895431 · Received November 4, 2010

Report

Report Number
9616696-2010-00328
Event Type
Injury
Date Received
November 4, 2010
Date of Event
March 22, 2010
Report Date
October 27, 2010
Manufacturer
STRYKER IRELAND LTD.
Product Code
HBF
PMA / PMN Number
K082010
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE PERFORATOR BIT SUBJECT TO THIS MDR WAS NOT RETURNED TO THE MFR FOR EVAL. LOT NUMBER INFO WAS NOT PROVIDED TO PERMIT FURTHER INVESTIGATION. THE ROOT CAUSE IS UNDETERMINED.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A CRANIAL PROCEDURE THAT THE PERFORATOR TORE THE DURA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PERFORATOR BIT LARGE 14/11MM DRILLS, BURS, TREPHINES & ACCESSORIES HBF STRYKER IRELAND LTD. TBC

Patients

Seq Age Sex Outcome Treatment
1 UNK Other