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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ACUMED, LLC MINI ACUTRAK 2® DRILL; BIT, DRILL

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ACUMED, LLC MINI ACUTRAK 2® DRILL; BIT, DRILL Back to Search Results
Model Number AT2M-1813
Device Problem Dull, Blunt (2407)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 04/15/2022
Event Type  malfunction  
Manufacturer Narrative
Manufacturing and inspection records were reviewed, and no anomalies were found.The returned product was inspected under magnification.Under magnification it was confirmed that the mini acutrak 2 drill (part number at2m-1813) had batch number 478407.Under magnification, it was noted the returned drill showed slight signs of wear.There was some slight deformation around the edges of the cannula at the tip of the drill and some very small dents on some of the cutting edges of the drill tip.Otherwise, no significant signs of damage or wear were observed along the length of the drill.It is possible that the damage observed dulled the drill, even when the denting and wear was slight.However, no definitive conclusion can be made.
 
Event Description
It was reported the drills were not sharp enough and a guide wire was broken during surgery.The piece of the tip of the broken guide wire was able to be removed, and there was nothing left in the patient's body.This report is related to report numbers 3025141-2022-00142 and 3025141-2022-00143 which are for the other devices involved in this event.
 
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Brand Name
MINI ACUTRAK 2® DRILL
Type of Device
BIT, DRILL
Manufacturer (Section D)
ACUMED, LLC
5885 ne cornelius pass road
hillsboro OR 97124
Manufacturer (Section G)
ACUMED LLC
5885 ne cornelius pass road
hillsboro OR 97124
Manufacturer Contact
ellie wood
5885 ne cornelius pass road
hillsboro, OR 97124
5035209618
MDR Report Key14430986
MDR Text Key294672015
Report Number3025141-2022-00141
Device Sequence Number1
Product Code HTW
Combination Product (y/n)N
Reporter Country CodeJA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Distributor
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 05/11/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/18/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberAT2M-1813
Device Catalogue NumberAT2M-1813
Device Lot Number478407
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer04/29/2022
Date Manufacturer Received04/26/2022
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured08/26/2019
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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