FDA Adverse Event Injury Summary report: N

MIDAS REX®LEGEND FOOTED ATTACHMENT

MDR report key: 8461699 · Received March 28, 2019

Report

Report Number
1625507-2019-00019
Event Type
Injury
Date Received
March 28, 2019
Report Date
June 28, 2019
Manufacturer
MDT POWERED SURGICAL SOLUTIONS
Product Code
HBB
PMA / PMN Number
K020069
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

NO CONCLUSION CAN BE DRAWN. NO EVALUATION WAS PERFORMED, AS THE DEVICE WAS NOT RETURNED. IF THE DEVICE IS RETURNED IN THE FUTURE, PRODUCT ANALYSIS MAY BE PERFORMED. THE DEVICE USER MANUAL WARNINGS SECTION INCLUDES INSTRUCTIONS TO CHECK THE DEVICE FOR DAMAGE BEFORE USE. IF DAMAGE IS FOUND, THE DEVICE SHOULD NOT BE USED. WE WILL CONTINUE TO TRACK AND TREND THIS COMPLAINT TYPE. (B)(6). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

IT WAS REPORTED IN A JOURNAL ARTICLE (CHILDS NERV SYST (2010) 26: 953¿955, DOI 10.1007/S00381-010-1139-5) THAT ONE PATIENT HAD A DURAL TEAR ALONG THE INFERIOR ASPECT OF THE CRANIOTOMY NOT EXTENDING INTO THE FORAMEN MAGNUM. THERE WAS NO INSTANCE OF VENOUS SINUS INJURY OR UNDUE BLEEDING FROM THE BURR HOLE. NONE OF THE PATIENTS HAD AN INFECTION REQUIRING REMOVAL OF THE BONE FLAP. NO ADDITIONAL INFORMATION WAS PROVIDED DURING FOLLOW UP.

Description of Event or Problem · 1

ON FOLLOW UP, IT WAS CONFIRMED THAT THERE WAS NO ADDITIONAL INTERVENTION PERFORMED AND THERE WERE NO SIDE EFFECTS RELATED TO THE DURAL TEAR. NO FURTHER INFORMATION WAS PROVIDED REGARDING DEVICE DETAILS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
252714 MIDAS REX®LEGEND FOOTED ATTACHMENT MOTOR, DRILL, PNEUMATIC HBB MDT POWERED SURGICAL SOLUTIONS AF02

Patients

Seq Age Sex Outcome Treatment
1 Other