FDA Adverse Event
Malfunction
Summary report: N
MICRO AIRE
MDR report key: 217108
·
Received March 31, 1999
Report
- Report Number
- MW1016036
- Event Type
- Malfunction
- Date Received
- March 31, 1999
- Date of Event
- March 23, 1999
- Report Date
- March 24, 1999
- Manufacturer
- MICROAIRE SURGICAL INSTRUMENTS, INC.
- Product Code
- GFF
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NY, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
BURR BROKE DURING SURGICAL PROCEDURE. ALL THREE PIECES REMOVED WITHOUT INCIDENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MICRO AIRE | CARBIDE BUR | GFF | MICROAIRE SURGICAL INSTRUMENTS, INC. | CARBIDE BUR, SIDE CUTTING | 089835383 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 49 YR |