BEUDAMED
    FDA Adverse Event Summary report: N

    DEPUY DRILL BIT

    MDR report key: 8646022 · Received May 24, 2019

    Report

    Report Number
    MW5086925
    Date Received
    May 24, 2019
    Report Date
    May 22, 2019
    Manufacturer
    DEPUY SYNTHES, INC.
    Product Code
    HTW
    Report Source
    Voluntary report
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    WHEN APPLYING SCREW IMPLANT, DRILL BIT BROKE. SCREW WAS RETRIEVED. NO HARM CAME TO THE PATIENT. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    436196 DEPUY DRILL BIT BIT, DRILL HTW DEPUY SYNTHES, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1