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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 DM0010FAA
Medical Device Problem Code Device Remains Activated (1525)
Health Effect - Clinical Code Perforation (2001)
Date of Event 10/02/2025
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that with a perforator plunging while doing a burr hole in a deep brain simulation case last week.It was fine for the first then plunged and tore the dura on the second one.
 
Additional Manufacturer Narrative
H3: product analysis: no evaluation performed as the device not yet returned for evaluation.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
Additional information details: lot number updated 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 with a perforator plunging while doing a burr hole in a deep brain simulation case last week.It was fine for the first then plunged and tore the dura on the second one.Additional information recieved that there was a couple minute delay trying to dislodge the perforator from the patient's head.The surgeon had to rock it back and forth to remove.There ended up being a small bleed from nicking the dura, but no additional surgery to address that.No fragments were left in the patient.
 
Additional Manufacturer Narrative
H3:product analysis:evaluation could not confirm the reported malfunction of continuous to run.The likely cause of failure could not able to determined.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 ser
sao paulo,sp 09980--39
BR   09980-39
22713209
MDR Report Key23437630
Report Number1625507-2025-02249
Device Sequence Number8625469
Product Code HBF
UDI-Device Identifier07898959543593
UDI-Public(01)07898959543593(17)290516(10)1484/25
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
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 Health Professional,Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup,Followup
Report Date (Section B) 03/17/2026
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? Yes
Operator of Device Health Professional
Device Model NumberDM0010FAA
Device Catalogue NumberDM0010FAA
Device Lot Number1484/25
Was Device Available for Evaluation? Device Returned to Manufacturer
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 10/08/2025
Supplement Date Received by Manufacturer01/15/2026
02/27/2026
Initial Report FDA Received Date10/31/2025
Supplement Report FDA Received Date02/10/2026
03/17/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/16/2025
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
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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