FDA Adverse Event Malfunction Summary report: N

1.5MM X 10.0MM TAPERED ROUTER

MDR report key: 8905775 · Received August 19, 2019

Report

Report Number
0001811755-2019-02720
Event Type
Malfunction
Date Received
August 19, 2019
Date of Event
July 28, 2019
Report Date
October 14, 2019
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HBE
UDI-DI
04546540467690
PMA / PMN Number
K143320
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION RESULTS INDICATE THAT HE MOST LIKELY CAUSE OF BREAKAGE WAS LACK OF IRRIGATION COMBINED WITH EXCESSIVE FORCE AND/OR THE APPLICATION OF A BENDING MOMENT DURING USE. A REVIEW OF THE LABEL, #5820-103-702 REVISION AA, THE LABEL INDICATES BY WAY OF AN EXPANDABLE LABEL 0036-902-000 REVISION B ICON "DO NOT USE EXCESSIVE FORCE". THE ASSOCIATED DEVICES IFU FOR USE WAS REVIEWED AND CONTAIN THE FOLLOWING WARNING; "DO NOT APPLY EXCESSIVE PRESSURE, SUCH AS BENDING OR PRYING, WITH THE CUTTING ACCESSORY. EXCESSIVE PRESSURE MAY BEND OR FRACTURE THE CUTTING ACCESSORY." THE QUALITY INVESTIGATION IS COMPLETE.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A CRANIOTOMY PROCEDURE, THE BUR BROKE. IT WAS ALSO REPORTED THAT THERE WERE NO ADVERSE CONSEQUENCES AND NO DELAYS AS A RESULT OF THIS EVENT. IT WAS FURTHER REPORTED THAT THE PROCEDURE WAS COMPLETED SUCCESSFULLY USING A BACK-UP BUR.

Additional Manufacturer Narrative · 1

A FOLLOW UP REPORT WILL BE FILED ONCE THE QUALITY INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A CRANIOTOMY PROCEDURE, THE BUR BROKE. IT WAS ALSO REPORTED THAT THERE WERE NO ADVERSE CONSEQUENCES AND NO DELAYS AS A RESULT OF THIS EVENT. IT WAS FURTHER REPORTED THAT THE PROCEDURE WAS COMPLETED SUCCESSFULLY USING A BACK-UP BUR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
698957 1.5MM X 10.0MM TAPERED ROUTER DRILLS, BURRS, TREPHINES & ACCESSORIES HBE STRYKER INSTRUMENTS-KALAMAZOO UNKNOWN 04546540467690

Patients

Seq Age Sex Outcome Treatment
1