FDA Adverse Event
Malfunction
Summary report: N
PROVISION
MDR report key: 22166379
·
Received June 9, 2025
Report
- Report Number
- 22166379
- Event Type
- Malfunction
- Date Received
- June 9, 2025
- Date of Event
- May 22, 2025
- Report Date
- June 5, 2025
- Manufacturer
- MEDARTIS INC
- Product Code
- HTW
- UDI-DI
- 00810041061737
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PATIENT WENT TO THE OPERATING ROOM FOR A ORIF [OPEN REDUCTION AND INTERNAL FIXATION], RIGHT METACARPAL FRACTURE. MEDARTIS KIT WAS USED FOR IMPLANTS. DURING THE PROCEDURE FOUR DIFFERENT DRILL BITS BROKE AND BECAME STUCK INSIDE THE PATIENT. SURGEON WAS ABLE TO REMOVE TWO OF THEM, HOWEVER TWO PIECES OF DRILL BIT REMAINED IN THE BONE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1265388 | PROVISION | BIT, DRILL | HTW | MEDARTIS INC | A-3230 | 00810041061737 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 34 YR | Female |