BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STRYKER INSTRUMENTS

    MDR report key: 2500157 · Received March 16, 2012

    Report

    Report Number
    MW5024684
    Event Type
    Injury
    Date Received
    March 16, 2012
    Date of Event
    March 2, 2012
    Report Date
    March 16, 2012
    Manufacturer
    STRYKER INSTRUMENTS
    Product Code
    HTW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    WHILE THE SURGEON WAS ADVANCING THE STRYKER DRILL BIT INTO THE BONE, THE DRILL BIT BROKE. SURGEON WAS UNABLE TO RETRIEVE THE SEGMENT OF DRILL BIT IN THE PT'S FIFTH METATARSAL. DRILL WAS COMPLETELY IMBEDDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER INSTRUMENTS 1.7 MM DRILL BIT HTW STRYKER INSTRUMENTS 01.4 0014326

    Patients

    Seq Age Sex Outcome Treatment
    1 29 YR Required Intervention