BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TWIST DRILL

    MDR report key: 3030228 · Received March 27, 2013

    Report

    Report Number
    9610905-2013-00011
    Event Type
    Injury
    Date Received
    March 27, 2013
    Date of Event
    March 26, 2013
    Report Date
    March 27, 2013
    Manufacturer
    KARL LEIBINGER MEDIZINTECHNIK GMBH & CO. KG
    Product Code
    HTW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    SURGEON WAS DRILLING A HOLE WHEN THE TWIST DRILL BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    125757 TWIST DRILL HTW KARL LEIBINGER MEDIZINTECHNIK GMBH & CO. KG 50-821-24 K5B

    Patients

    Seq Age Sex Outcome Treatment
    1 20 YR Other