DRILL BIT UNK_PRODUCT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-09-15 for DRILL BIT UNK_PRODUCT manufactured by Depuy Synthes Power Tools.

Event Text Entries

[55206082] As of this date, the device has not been returned for evaluation; therefore, the reported condition cannot be confirmed and/or duplicated. If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10


[55206083] This is event 2 of 2 of the same event. It was reported from (b)(6) that during surgery for a tibial diaphysis fracture, it was observed that smoke came out from the part of the radiolucent drive device where it was spinning the drill bit device. According to the report, the radiolucent drive device and the drill bit device started running idle when the surgeon tried to perform distal locking. The surgeon stated that it might have been due to low power on the radiolucent drive device which caused that drill bit device to not spin. There was a ten minute delay to the surgical procedure. It was unknown if a spare device was available for use. There was patient involvement. There were no reports of injuries, medical intervention or prolonged hospitalization. All available information has been disclosed. If additional information should become available, a supplemental medwatch report will be submitted accordingly.
Patient Sequence No: 1, Text Type: D, B5


[56582067] During subsequent follow-up, the reported stated that the procedure was performed on an elderly person. It was also mentioned that the drill device was not new and therefore did not work smoothly. If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2520274-2016-14541
MDR Report Key5953084
Date Received2016-09-15
Date of Report2016-09-01
Date of Event2016-08-29
Date Mfgr Received2016-09-21
Date Added to Maude2016-09-15
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMARK VORNHEDER
Manufacturer Street1302 WRIGHTS LANE EAST
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal19380
Manufacturer Phone6107195000
Manufacturer G1DEPUY SYNTHES POWER TOOLS
Manufacturer StreetN/I
Manufacturer CityN/I
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDRILL BIT
Generic NameUNKNOWN
Product CodeHXY
Date Received2016-09-15
Catalog NumberUNK_PRODUCT
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerDEPUY SYNTHES POWER TOOLS
Manufacturer AddressN/I N/I US


Patients

Patient NumberTreatmentOutcomeDate
10 2016-09-15

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