FDA Adverse Event
Malfunction
Summary report: N
TRAUMAONE SYSTEM
MDR report key: 6355984
·
Received February 24, 2017
Report
- Report Number
- 6355984
- Event Type
- Malfunction
- Date Received
- February 24, 2017
- Date of Event
- January 21, 2017
- Report Date
- February 7, 2017
- Manufacturer
- BIOMET MICROFIXATION, INC.
- Product Code
- HBE
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
PROCEDURE BEING DONE IS BILATERAL MANDIBLE ORIF. WHILE DRILLING ON THE RIGHT MANDIBLE, THE DRILL BIT BROKE AND A PIECE WAS LEFT IN THE MANDIBLE. THE SURGEON WAS ABLE TO RETRIEVE /REMOVED THE BIT OF DRILL BIT FROM THE MANDIBLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 139127 | TRAUMAONE SYSTEM | DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE, POWERED) | HBE | BIOMET MICROFIXATION, INC. | 46-1004 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 43 YR |