SYNTHES MILLING DRILL BIT 03.820.167S

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-02-15 for SYNTHES MILLING DRILL BIT 03.820.167S manufactured by Synthes Inc..

Event Text Entries

[100159175]
Patient Sequence No: 1, Text Type: N, H10


[100159176] Intra-operative a drill bit broke off in the operative site. Surgeon aware; able to retrieved the broken piece. Handed off the sterile field as one total component.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7272925
MDR Report Key7272925
Date Received2018-02-15
Date of Report2018-02-13
Date of Event2018-02-05
Report Date2018-02-13
Date Reported to FDA2018-02-13
Date Reported to Mfgr2018-02-13
Date Added to Maude2018-02-15
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSYNTHES MILLING DRILL BIT
Generic NameBIT, SURGICAL
Product CodeGFG
Date Received2018-02-15
Catalog Number03.820.167S
Lot Number7604645
Device Expiration Date2019-03-31
OperatorPHYSICIAN
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSYNTHES INC.
Manufacturer Address325 PARAMOUNT DRIVE RAYNHAM MA 02767 US 02767


Patients

Patient NumberTreatmentOutcomeDate
10 2018-02-15

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