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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MDT POWERED SURGICAL SOLUTIONS MIDAS REX MR8; DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE

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MDT POWERED SURGICAL SOLUTIONS MIDAS REX MR8; DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE Back to Search Results
Model Number MR8-SP12MH30
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/26/2023
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
H3: product analysis: report confirmed.Evaluation determined that there was a broken burr.The likely cause was identified as excessive lateral force during cutting and corrosion on the components.It was also noted that the burr shaft was broken just proximal to the burr head.Significant corrosion was observed on the burr head.Some corrosion was observed on the exposed burr shaft, and the fracture was found to be consistent with a bending fatigue fracture.This regulatory report is being submitted due to a retrospective review through capa 624392.Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
Event or Problem Description
It was reported that tip of the tip of clear view burr broke off while surgeon was using the burr to drill into bone.The broken tip was located removed from the patient and the broken tip plus burr were isolated from the patient and procedure.It was reported that there was no patient impact.It was also reported that there were no adverse events or outcomes for the patient, no delay in surgery and procedure was completed with a backup product.On follow-up the procedure was reported as l2/3 robotically assisted posterior lumbar interbody fusion and there were no fragments left inside the patient, it was confirmed with the health care professional that there was no patient or staff impact.
 
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Brand Name
MIDAS REX MR8
Common Device Name
DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE
Manufacturer (Section D)
MDT POWERED SURGICAL SOLUTIONS
4620 n beach st
fort worth TX 76137
Manufacturer (Section G)
MDT POWERED SURGICAL SOLUTIONS
4620 n beach st
fort worth TX 76137
Manufacturer Contact
justin ellis
8200 coral sea street ne mvs21
mounds view, MN 55112
7635265677
MDR Report Key21749643
Report Number1625507-2025-01191
Device Sequence Number9537389
Product Code HBE
UDI-Device Identifier00763000047078
UDI-Public00763000047078
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
K183515
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 04/02/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Expiration Date12/27/2025
Device Model NumberMR8-SP12MH30
Device Catalogue NumberMR8-SP12MH30
Device Lot Number0223539743
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/23/2023
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/26/2023
Initial Report FDA Received Date04/02/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured12/28/2021
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexFemale
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