FDA Adverse Event Malfunction Summary report: N

BRASSELER USA SURGICAL BUR

MDR report key: 7304356 · Received February 28, 2018

Report

Report Number
2025102-2018-00001
Event Type
Malfunction
Date Received
February 28, 2018
Date of Event
January 23, 2018
Report Date
February 28, 2018
Manufacturer
BRASSELER U.S.A. MEDICAL, LLC
Product Code
GFF
PMA / PMN Number
K943758
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO PRODUCT RETURNED TO EVALUATE. BUR WAS PART OF KIT ITEM 501124M0 - PIP-DIS-STR, LOT NN6UC.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A SILICONE PIP IMPLANT SURGERY ON (B)(6) 2018, A LONG THIN BUR BROKE INSIDE THE PATIENT'S PHALANGEAL WHILE THE PATIENT WAS UNDER GENERAL ANESTHESIA. THE SURGEON TRIED USING SEVERAL TOOLS TO TRY AND REMOVE IT, BUT WAS UNABLE TO REMOVE THE BROKEN PIECE. THERE WAS A 15 MINUTE SURGICAL DELAY. NO PATIENT INFORMATION PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
145839 BRASSELER USA SURGICAL BUR SURGICAL BUR GFF BRASSELER U.S.A. MEDICAL, LLC AOI-14-S0201

Patients

Seq Age Sex Outcome Treatment
1