FDA Adverse Event Malfunction Summary report: N

BIO INSTABILITY DRILL BIT 2.1MM

MDR report key: 782803 · Received November 13, 2006

Report

Report Number
1017294-2006-00458
Event Type
Malfunction
Date Received
November 13, 2006
Report Date
October 20, 2006
Manufacturer
COMMED LINVATEC
Product Code
HTW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION FINDINGS: THE DRILL BIT WAS RECEIVED FOR EVAL. A VISUAL EXAMINATION OF THE DEVICE FOUND GALLING AT THE DISTAL END OF THE DRILL BIT. A REVIEW OF HISTORY FOR THIS PRODUCT FOUND ONE OTHER SIMILAR REPORTED EVENT. CONMED LINVATEC WILL CONTINUE TO MONITOR THIS PRODUCT FOR FAILURES.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT DURING USE OF THE DRILL BIT IN A SHOULDER ARTHROSCOPY, METAL SHAVINGS WERE OBSERVED IN THE JOINT. IT IS NOT KNOWN IF ALL METAL SHAVINGS WERE RETRIEVED. TO DATE, THE PT IS DOING FINE AND NO ADDITIONAL TREATMENT IS PLANNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BIO INSTABILITY DRILL BIT 2.1MM DRILL BIT HTW COMMED LINVATEC NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN CATALOG#: C6172, BIOSTABILITY DRILL GUIDE SERRATED