FDA Adverse Event Malfunction Summary report: N

MIDAS REX MR8

MDR report key: 21442462 · Received February 23, 2025

Report

Report Number
1625507-2025-00428
Event Type
Malfunction
Date Received
February 23, 2025
Date of Event
December 26, 2022
Report Date
February 23, 2025
Manufacturer
MDT POWERED SURGICAL SOLUTIONS
Product Code
HBB
UDI-DI
00643169912373
PMA / PMN Number
K183515
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H3: PRODUCT ANALYSIS: EVALUATION DETERMINED OVERHEATING AND THE MAXIMUM TEMPERATURE WAS MEASURED TO BE 124.2°F. THE LIKELY CAUSE WAS IDENTIFIED AS CORROSION. IT WAS ALSO NOTED ATTACHMENT FOUND NOISY AND OUTPUT DRIVE SHAFT ASSEMBLY CORRODED. THIS REGULATORY REPORT IS BEING SUBMITTED DUE TO RETROSPECTIVE REVIEW THROUGH CAPA 624392. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

REPAIR REQUEST INITIATED FOR DEVICE WITH THE REPORT OF OVERHEATING. IT WAS REPORTED THAT THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1667297 MIDAS REX MR8 MOTOR, DRILL, PNEUMATIC HBB MDT POWERED SURGICAL SOLUTIONS MR8-AA14 00643169912373

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown