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 |