FDA Adverse Event Malfunction Summary report: N

BIT, DRILL

MDR report key: 4252400 · Received November 14, 2014

Report

Report Number
2520274-2014-14764
Event Type
Malfunction
Date Received
November 14, 2014
Date of Event
October 22, 2014
Report Date
October 22, 2014
Manufacturer
SYNTHES USA
Product Code
HTW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS FOR AN UNKNOWN DRILL BIT/UNKNOWN LOT. DEVICE IS AN INSTRUMENT AND IS NOT IMPLANTED/EXPLANTED. WITHOUT A LOT NUMBER THE DEVICE HISTORY RECORDS REVIEW COULD NOT BE COMPLETED. THE INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN, AS NO PRODUCT WAS RECEIVED. DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

DEVICE REPORT FROM SYNTHES (B)(4) REPORTS AN EVENT IN (B)(6) AS FOLLOWS: IT WAS REPORTED THAT THE DRILL INTERFERED WITH THE NAIL. THE SURGEON MANAGED TO MAKE THE DRILL TIP GO THROUGH BY ADJUSTING IT BY HAND. THE SURGEON COMMENTED THAT A DIRECTION MIGHT BE AWAY FROM THE TARGET BY SLIPPING OUT ON PERIOSTEUM DURING THE SURGERY BECAUSE THE PATIENT¿S BONE WAS CARVED. THE SURGERY WAS DELAY FOR TWO MINUTES DUE TO THIS EVENT. THIS REPORT IS FOR AN UNKNOWN DRILL BIT. THIS IS REPORT 4 OF 4 FOR (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
736223 BIT, DRILL HTW SYNTHES USA

Patients

Seq Age Sex Outcome Treatment
1