FDA Adverse Event Injury Summary report: N

1.3MM PILOT DRILL OSTEOPOWER,12MM

MDR report key: 23526030 · Received November 11, 2025

Report

Report Number
2027754-2025-00053
Event Type
Injury
Date Received
November 11, 2025
Date of Event
October 16, 2025
Report Date
November 11, 2025
Manufacturer
OSTEOMED, LLC
Product Code
KMW
UDI-DI
00845694006408
PMA / PMN Number
K971692
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CI
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

TO DATE, THE DEVICE HAS NOT RETURNED FOR EVALUATION, THE ROOT CAUSE COULD NOT BE ESTABLISHED. ADDITIONAL REPORTING ON THIS EVENT WILL BE PROVIDED AS A FOLLOW UP REPORT IF MORE INFORMATION BECOMES AVAILABLE.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING SURGERY, A 220-0302 DRILL BIT BROKE, AND PART OF IT REMAINED INSIDE THE PATIENT, WHICH COULD NOT BE REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2545501 1.3MM PILOT DRILL OSTEOPOWER,12MM HANDPIECE, ROTARY BONE CUTTING KMW OSTEOMED, LLC 220-0302 00845694006408

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other