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 |