EASYDRILL PERFORATOR DM0010FAA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-01-21 for EASYDRILL PERFORATOR DM0010FAA manufactured by Micromar Industria E Comercio Ltda.

Event Text Entries

[180880393] No conclusion can be drawn. Evaluation could not be performed because the device was not returned. This dm0010faa easydrill cranial perforator with unknown lot number was manufactured by micromar. Multiple warnings are included in the easydrill cranial perforator ifu manual including: it is essential to keep the drill perpendicular (90? ) at the predetermined point of the skull to be drilled, as an excessive deviation from perpendicularity may cause the product to fail and lead to serious patient injury. Select a drill bit suitable for the bone thickness. This prevents the drill from tearing the bone or brain tissue (similar effect when the bit is not positioned at 90? ). If the components of the easydrill cranial perforator become loose during trephination, discontinue use. The drill can cut or tear the dura mater when it unlocks. Check some conditions before performing the procedure, such as the existence of adhering dura mater or other anomalies adjacent to the drilling site. We will continue to track and trend this complaint type. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[180880574] It was reported that during craniotomy, the patient's dura was damaged. On follow up, it was confirmed that there was a delay in the procedure however, the detailed time of delay was unknown. It was also reported that an unexpected dural suture was performed because of the event and no further information can be provided regarding patient's current status.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1625507-2020-00013
MDR Report Key9613203
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-01-21
Date of Report2020-01-21
Date of Event2019-12-23
Date Mfgr Received2019-12-23
Date Added to Maude2020-01-21
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 ContactNATALIA MATOS
Manufacturer StreetCNPJ: 53.168.142/0001-29 AV. MARGINAL AO CORREGO DA S
Manufacturer CitySAO PAULO,SP 09980-39
Manufacturer CountryBR
Manufacturer Postal09980-39
Manufacturer Phone140575722
Manufacturer G1MICROMAR INDUSTRIA E COMERCIO LTDA
Manufacturer StreetCNPJ: 53.168.142/0001-29 AV. MARGINAL AO CORREGO DA SER
Manufacturer CitySAO PAULO,SR 09980-39
Manufacturer CountryBR
Manufacturer Postal Code09980-39
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameEASYDRILL PERFORATOR
Generic NameDRILLS, BURRS, TREPHINES & ACCESSORIES (COMPOUND, POWERED)
Product CodeHBF
Date Received2020-01-21
Model NumberDM0010FAA
Catalog NumberDM0010FAA
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerMICROMAR INDUSTRIA E COMERCIO LTDA
Manufacturer AddressCNPJ: 53.168.142/0001-29 AV. MARGINAL AO CORREGO DA SER SAO PAULO,SR 09980-39 BR 09980-39


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-01-21

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