FDA Adverse Event Malfunction Summary report: N

CANNULATED DRILL 2 IN 1 DIAM 2.2

MDR report key: 2472977 · Received February 16, 2012

Report

Report Number
9615741-2012-00007
Event Type
Malfunction
Date Received
February 16, 2012
Report Date
February 16, 2012
Manufacturer
NEWDEAL S.A.
Product Code
HTW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFO.

Description of Event or Problem · 1

THE REPORTER STATED THAT THE DRILL BROKE INTO TWO PIECES DURING USE IN A SURGICAL PROCEDURE. INTEGRA HAS REQUESTED ADDITIONAL INFO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CANNULATED DRILL 2 IN 1 DIAM 2.2 NA HTW NEWDEAL S.A. EPYC

Patients

Seq Age Sex Outcome Treatment
1