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 |