FDA Adverse Event
Injury
Summary report: N
MICROAIRE
MDR report key: 661432
·
Received January 6, 2006
Report
- Report Number
- 2020601-2006-00002
- Event Type
- Injury
- Date Received
- January 6, 2006
- Date of Event
- December 8, 2005
- Report Date
- January 6, 2006
- Manufacturer
- MICROAIRE SURGICAL INSTRUMENTS, LLC
- Product Code
- HTW
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
A MICROAIRE REP HAD RECEIVED A REPORT. THE REPORT INDICATED THAT A TWIST DRILL HAD ALLEGEDLY BROKEN OFF INSIDE A PATIENT AND REQUIRED 1/2 HOUR TO REMOVE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MICROAIRE | 2.0MM ECT TWIST DRILL | HTW | MICROAIRE SURGICAL INSTRUMENTS, LLC | 8054-020NS | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Required Intervention |