FDA Adverse Event
Malfunction
Summary report: N
2.5MM DRILL BIT CALIBRATED 200MM
MDR report key: 23196566
·
Received October 1, 2025
Report
- Report Number
- 3011656326-2025-00006
- Event Type
- Malfunction
- Date Received
- October 1, 2025
- Date of Event
- September 21, 2025
- Report Date
- October 1, 2025
- Manufacturer
- OSTEOCENTRIC TECHNOLOGIES, INC.
- Product Code
- HTW
- PMA / PMN Number
- K152000
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
MANUFACTURING AND INSPECTION RECORDS COULD NOT BE REVIEWED AS THE DEVICE LOT NUMBER IS UNKNOWN. BASED ON THE INFORMATION RECEIVED, THE ROOT CAUSE COULD NOT BE DETERMINED.
Description of Event or Problem · 0
DURING AN ORIF ANKLE PROCEDURE, A 110040 2.5MM DRILL BIT CALIBRATED 200MM WAS UTILIZED AND THE DRILL BIT BROKE. THE BROKEN FRAGMENT WAS LEFT IN THE BONE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2459002 | 2.5MM DRILL BIT CALIBRATED 200MM | 2.5MM DRILL BIT CALIBRATED 200MM | HTW | OSTEOCENTRIC TECHNOLOGIES, INC. | 110040 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 75 YR | Female | Other |