A facility reported a surgeon used the perforator with a speed reducer for a craniotomy and while perforating a burr hole on the skull the pachymeninx (dura mater) was damaged.The advised rpm by integra codman was to run the device at 60,000 rpms, and it seems to have a poor rotation speed.No further information is available.
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The perforator was not returned for evaluation and no lot number information has been provided; therefore, an evaluation of the device could not be performed, and manufacturing records could not be reviewed.The cause(s) of the difficulty reported by the customer could not be determined.If additional relevant information becomes available in the future, this complaint will be reopened, and the respective evaluation performed.Trends will be monitored for this and similar issues.At present, we consider this complaint to be closed.
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