BEUDAMED
    FDA Adverse Event Other Summary report: N

    HALL DRILL BIT

    MDR report key: 65847 · Received January 2, 1997

    Report

    Report Number
    65847
    Event Type
    Other
    Date Received
    January 2, 1997
    Date of Event
    November 6, 1996
    Report Date
    November 14, 1996
    Manufacturer
    ZIMMER CO.
    Product Code
    DZA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    WHEN DRILLING HOLE IN MANDIBLE TO ATTACH BONE GRAFT WITH WIRE, APPROX 1/4 INCH OF DRILL BIT BROKE OFF IN THE MANDIBLE. SURGEON ATTEMPTED TO REMOVE BUT WAS UNSUCCESSFUL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HALL DRILL BIT HALL DRILL BIT DZA ZIMMER CO. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 17 YR Other 11/6/96 HALL II AIRDRILL - ZIMMER CAT# 1387-01