FDA Adverse Event Summary report: N

CRANI-A BURR GUARD REUSUABLE

MDR report key: 1971157 · Received January 18, 2011

Report

Report Number
1971157
Date Received
January 18, 2011
Date of Event
January 14, 2011
Report Date
January 18, 2011
Manufacturer
THE ANSPACH EFFORT, INC.
Product Code
HBF
Report Source
User Facility report
Reporter Location
RI, US

Narratives

Description of Event or Problem · 1

THE DRILL GUARD BROKE. SEVERAL X-RAYS WERE TAKEN. BOTH PIECES WERE OBTAINED. X-RAYS READ BY RADIOLOGY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CRANI-A BURR GUARD REUSUABLE DRILLS, BURRS, TREPHINES & ACCESSORIES (COMPOUND, POWERED) HBF THE ANSPACH EFFORT, INC. * *

Patients

Seq Age Sex Outcome Treatment
1 63 YR