FDA Adverse Event
Malfunction
Summary report: N
ACRA-CUT
MDR report key: 3766473
·
Received March 19, 2014
Report
- Report Number
- 3766473
- Event Type
- Malfunction
- Date Received
- March 19, 2014
- Date of Event
- March 11, 2014
- Report Date
- March 19, 2014
- Manufacturer
- ACRA-CUT, INC.
- Product Code
- HBF
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA, US
Narratives
Description of Event or Problem · 1
THE CRANIAL ACRACUT PERFORATOR WAS RECENTLY INTRODUCED TO ADDRESS A PROBLEM WITH DRILL BITS "PLUNGING" (WHEN THE DRILL BIT DOESN'T STOP). THE RESIDENTS HAVE COMPLAINED OF SOME CHATTER FROM THE ACRACUT DRILL BIT, BUT HAVE EXPERIENCED EPISODES WHEN THE BIT DOES NOT GO ALL THE WAY THROUGH THE CRANIUM. THE OPERATING ROOM LEADERSHIP AND NEUROSURGERY DEPARTMENT QUALITY CHAIR HAS BEEN INFORMED AND THE PRODUCT THAT MALFUNCTIONED IS BEING LOOKED AT BY BIO-MED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 165139 | ACRA-CUT | DRILL BIT CRANIAL PERFORATOR | HBF | ACRA-CUT, INC. | * | 8455 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 73 YR | THE BONE (CRANIUM). A SECOND RESIDENT ALSO STATED| WHILE STARTING TO PERFORM A RIGHT CRANIOTOMY FOR| HEMATOMA IN THE OPERATING ROOM, THE PERFORATOR| MALFUNCTIONED X2. THE NEUROSURGERY RESIDENT STATED| THAT THE PERFORATOR STOPPED WHEN GOING THROUGH| THE SAME. |