FDA Adverse Event Malfunction Summary report: N

GLENOID CANNULATED STOP DRILL

MDR report key: 7886022 · Received September 18, 2018

Report

Report Number
1818910-2018-69664
Event Type
Malfunction
Date Received
September 18, 2018
Date of Event
August 20, 2018
Report Date
August 21, 2018
Manufacturer
DEPUY FRANCE SAS - 3003895575
Product Code
HTW
UDI-DI
10603295116509
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PC-(B)(4).NO DEVICE ASSOCIATED WITH THIS REPORT WAS RECEIVED FOR EXAMINATION. DEPUY SYNTHES CONSIDERS THE INVESTIGATION CLOSED AT THIS TIME. SHOULD ADDITIONAL INFORMATION BE RECEIVED, THE INFORMATION WILL BE REVIEWED AND THE INVESTIGATION WILL BE RE-OPENED AS NECESSARY. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH , A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 1

(B)(4). IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

THE DRILL THAT PERFORMS THE CENTRAL HOLE OF METAGLENA IS NOT CUT BECAUSE IT COULD NOT PIERCE THE BONE, THE DOCTOR HAD TO USE A WIRE OF STEINMANN 4,5 TO BE AN INITIAL MILLER AND THUS FINISH WITH THE CORRECT DRILL, THE PROCESS WORKED OUT HOWEVER IS NOT THE CORRECT ONE. THERE WAS NO HARM TO THE PATIENT. PRODUCT INFORMATION: CODE: (B)(4) AND LOT: 5213631.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
726782 GLENOID CANNULATED STOP DRILL DRILLS (BITS, SLEEVES, GUIDES) : DRILL GUIDES HTW DEPUY FRANCE SAS - 3003895575 5213631 10603295116509

Patients

Seq Age Sex Outcome Treatment
1