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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. DRILL BIT, CANNULATED, 3.0MM; BIT, DRILL

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ARTHREX, INC. DRILL BIT, CANNULATED, 3.0MM; BIT, DRILL Back to Search Results
Catalog Number AR-8005D-30
Device Problems Break (1069); Detachment Of Device Component (1104)
Patient Problem Foreign Body In Patient (2687)
Event Date 11/04/2016
Event Type  Injury  
Manufacturer Narrative
Patient demographics (date of birth, weight) were requested but not provided.No further patient information was provided at the time of this report or made available in response to follow-up communication.No additional adverse consequences have been reported from this event.This device is used for treatment.The device was requested for evaluation but was not returned therefore the complainant's event could not be verified.The cause of the event could not be determined from the information available and without device evaluation.Device history record review revealed nothing relevant to this event.Complainant's event is typically caused by user mechanical damage to device such as hitting the device with another device, prying/leveraging or excessive bending forces being applied during use.This is the first complaint of this type for this part/lot combination.The potential cause(s) of this event will be communicated to the event reporter.If additional relevant information is received, a follow-up report will be submitted.Unknown device disposition.
 
Event Description
It was reported that during a dorsum of the right foot, the surgeon was drilling the bone with a cannulated 3.0 drill bit when the drill bit broke off into the base of the 2nd metatarsal.The surgeon was unable to retrieve the drill bit from the patient.He went on to drill out the bone with a 3.0 solid drill bit instead.
 
Manufacturer Narrative
No further patient information was provided at the time of this report or made available in response to follow-up communication.No additional adverse consequences have been reported from this event.This device is used for treatment.This is a follow-up submission due to device evaluation.Complaint confirmed.The device met material specifications as received.The evaluation revealed torsional break on broken drill tip.Complainant's event is typically caused by user mechanical damage to device such as hitting the device with another device, prying/leveraging or excessive bending forces being applied during use this is the first complaint of this type for this part/lot combination.The potential cause(s) of this event will be communicated to the event reporter.If additional relevant information is received, a follow-up report will be submitted.
 
Event Description
It was reported that during a dorsum of the right foot, the surgeon was drilling the bone with a cannulated 3.0 drill bit when the drill bit broke off into the base of the 2nd metatarsal.The surgeon was unable to retrieve the drill bit from the patient.He went on to drill out the bone with a 3.0 solid drill bit instead.
 
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Brand Name
DRILL BIT, CANNULATED, 3.0MM
Type of Device
BIT, DRILL
Manufacturer (Section D)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer (Section G)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer Contact
vik bajnath, sr mdr analyst
1370 creekside boulevard
naples, FL 34108-1945
8009337001
MDR Report Key6150694
MDR Text Key61605432
Report Number1220246-2016-00554
Device Sequence Number1
Product Code HTW
UDI-Device Identifier00888867042438
UDI-Public00888867042438
Combination Product (y/n)N
Reporter Country CodeCA
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional,u
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 03/01/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue NumberAR-8005D-30
Device Lot Number040934
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/14/2017
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 11/18/2016
Initial Date FDA Received12/07/2016
Supplement Dates Manufacturer ReceivedNot provided
Supplement Dates FDA Received03/02/2017
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured09/01/2009
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Other;
Patient Age66 YR
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