FDA Adverse Event Malfunction Summary report: N

FOOTED ATTACHMENT 2.4MM LEGEND, AF02 (B-1)

MDR report key: 3040334 · Received January 17, 2008

Report

Report Number
1625507-2008-00002
Event Type
Malfunction
Date Received
January 17, 2008
Report Date
December 15, 2007
Manufacturer
MEDTRONIC POWERED SURGICAL SOLUTIONS
Product Code
HBB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

FINDINGS: REPORT WAS CONFIRMED BY EVALUATION. THE FOOTED PORTION OF THE ATTACHMENT CUT BY TOOL CONTACT. THE USER MANUAL STATES "THE ATTACHMENT SHOULD NOT BE USED IF ANY PART OF THE ATTACHMENT APPEARS TO BE BENT, LOOSE, MISSING, OR DAMAGED. EXCESSIVE PRESSURE OR IMPROPER HANDLING, SUCH AS BENDING OR PRYING, OF THE ATTACHMENT OR DISSECTING TOOL MAY CAUSE INJURY TO THE PT, OPERATOR AND/OR OPERATING ROOT STAFF."

Description of Event or Problem · 1

DEVICE WAS RETURNED FOR REPAIR BY THE USER FACILITY AND ESCALATED TO A COMPLAINT DUE TO THE FOOTED PORTION OF THE ATTACHMENT CUT BY TOOL CONTACT. ON FOLLOW-UP IT WAS NOTED THAT THIS WAS IDENTIFIED AFTER THE SURGEON TURNED THE FLAP DURING A CRANIOTOMY PROCEDURE. IT WAS CONFIRMED THAT THERE WAS NO PT IMPACT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FOOTED ATTACHMENT 2.4MM LEGEND, AF02 (B-1) PNEUMATIC SURG DRILL ATTACHMENT LEGEND HBB MEDTRONIC POWERED SURGICAL SOLUTIONS NA NA

Patients

Seq Age Sex Outcome Treatment
1