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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MICROMAR INDUSTRIA E COMERCIO LTDA EASYDRILL PERFORATOR; DRILLS, BURRS, TREPHINES & ACCESSORIES (COMPOU

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MICROMAR INDUSTRIA E COMERCIO LTDA EASYDRILL PERFORATOR; DRILLS, BURRS, TREPHINES & ACCESSORIES (COMPOU Back to Search Results
Model Number DM0210FAA
Medical Device Problem Code Device Remains Activated (1525)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/01/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during a craniotomy procedure, the perforator was used with the midas rex motor to drill into the cranial bone.The surgeon observed that the burr did not stop rotating after completing the bone perforation. it was also reported that no intervention was performed and the procedure was completed using the same product.It was also reported that there was no procedure delay and no patient injury.Additional information was received stating that there was no patient or staff impact and the right parietal bone of the skull was the perforated.It was also stated that the patient have relevant no bone disease or comorbidities.
 
Additional Manufacturer Narrative
H3: product analysis (b)(4): no conclusion can be drawn.No evaluation was performed, as the device was disposed of after the event.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.
 
Additional Manufacturer Narrative
Corrected information¿g tab (g1- the manufacturer address).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.
 
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Brand Name
EASYDRILL PERFORATOR
Common Device Name
DRILLS, BURRS, TREPHINES & ACCESSORIES (COMPOU
Manufacturer (Section D)
MICROMAR INDUSTRIA E COMERCIO LTDA
cpnj: 53.168.142/0001-29
av. marginal ao corrego da ser
sao paulo,sp 09980 -390
BR  09980-390
Manufacturer (Section G)
MICROMAR INDUSTRIA E COMERCIO LTDA
cpnj: 53.168.142/0001-29
av. marginal ao corrego da ser
sao paulo,sp 09980 -390
BR   09980-390
Manufacturer Contact
natalia matos
cnpj: 53.168.142/0001-29
av. marginal ao corrego da s
sao paulo,sp, MN 09980--39
BR   09980-39
7635265677
MDR Report Key23356587
Report Number1625507-2025-02214
Device Sequence Number8815862
Product Code HBF
UDI-Device Identifier07898959543609
UDI-Public(01)07898959543609(17)290408(10)0895/25
Combination Product (Y/N)N
Initial Reporter CountrySP
PMA/510(K) Number
K141455
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 10/27/2025
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
Device Model NumberDM0210FAA
Device Catalogue NumberDM0210FAA
Device Lot Number0895/25
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 10/01/2025
Supplement Date Received by Manufacturer10/27/2025
Initial Report FDA Received Date10/22/2025
Supplement Report FDA Received Date10/28/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/08/2025
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 SexUnknown
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