26-1221

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-11-29 for 26-1221 manufactured by Codman & Shurtleff, Inc..

Event Text Entries

[128759918] The physician was using the midas with the gold perforator hand piece to make a burr hole in the patient's skull. The drill is supposed to stop when it goes through the skull before the dura. The drill did not stop and when the physician sensed the difference stopped. The drill bit was stuck in the skull and would not come out. He had to go around the bit to loosen it and retrieve it from the skull. The drill bit did not penetrate the dura, but patient was sent to mri to ensure there was not a bleed in the epidural space. The patient was then returned to his room in the icu.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8114742
MDR Report Key8114742
Date Received2018-11-29
Date of Report2018-11-16
Date of Event2018-10-06
Report Date2018-11-16
Date Reported to FDA2018-11-16
Date Reported to Mfgr2018-11-29
Date Added to Maude2018-11-29
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameDRILLS, BURRS, TREPHINES
Product CodeHBG
Date Received2018-11-29
Catalog Number26-1221
Lot NumberHY4750
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCODMAN & SHURTLEFF, INC.
Manufacturer Address325 PARAMOUNT DRIVE RAYNHAM MA 02767 US 02767


Patients

Patient NumberTreatmentOutcomeDate
10 2018-11-29

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