BEUDAMED
    FDA Adverse Event Other Summary report: N

    AMERICAN MEDICAL SPECIALTIES

    MDR report key: 771893 · Received October 19, 2006

    Report

    Report Number
    MW1040738
    Event Type
    Other
    Date Received
    October 19, 2006
    Date of Event
    April 21, 2006
    Report Date
    October 11, 2006
    Manufacturer
    SOURTHERN CARBIDE
    Product Code
    HTT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE TIP OF A SURGICAL BUR PURCHASED FROM AMERICAN MEDICAL SPECIALTIES, INC. CAME OFF DURING A PROCEDURE INVOLVING DRILLING INTO THE PT'S BONE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AMERICAN MEDICAL SPECIALTIES WIRE PASS BUR HTT SOURTHERN CARBIDE AZB-448 0803008

    Patients

    Seq Age Sex Outcome Treatment
    1 26 YR Other