1.5MM X 10.0MM TAPERED ROUTER
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
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.
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.
A FOLLOW UP REPORT WILL BE FILED ONCE THE QUALITY INVESTIGATION IS COMPLETE.
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 |