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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MDT POWERED SURGICAL SOLUTIONS IPC® HANDPIECE ATTACHMENT - INDIGO¿ DRILL; DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE

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MDT POWERED SURGICAL SOLUTIONS IPC® HANDPIECE ATTACHMENT - INDIGO¿ DRILL; DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE Back to Search Results
Model Number 1845020
Medical Device Problem Codes Overheating of Device (1437); Noise, Audible (3273)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/22/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that drill handpiece heating up during use and a crackling noise.There was no patient impact.
 
Additional Manufacturer Narrative
H6: the codes fdm b21, fdr c21, fdc d16 and img g04130 are applicable for indigo attachment.Continuation of d10: section d information references the main component of the system.Other relevant device(s) are: product id: 1845000, serial/lot #: unknown, udi#: unknown.H6: the codes fdm b17, fdr c20, fdc d16 and img g04063 are applicable for indigo drill.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
Correction in continuation of d10: section d information references the main component of the system.Other relevant device(s) are: product id: 1845000, serial/lot #: (b)(6), ubd: , udi#: (b)(4), h3: during initial assessment the indigo drill (serial: (b)(6)) found to be grinding heavily and making noise.The indigo drill handpiece was run for a minute, and temperatures recorded t1= 85.6 fahrenheit, t2= 86.7 fahrenheit.As per the product analysis, the pre-repair temperature results at 1 minute are less than 118 fahrenheit, which does not meet the reporting criteria.H6: initially submitted codes fdm b17, fdr c20 and img g04063 are no longer applicable.Product analysis of the indigo drill received shows that there is no information to reasonably suggest that the device in this report may have caused or contributed to a death or serious injury or that the device in this report has malfunctioned.Therefore, this event did not and does not meet the reporting requirements stipulated in 21 cfr 803.Therefore, indigo attachment (serial: (b)(6)) also no longer meets the reporting criteria.This event is a duplicate and has already been submitted in regulatory rep #1045254-2026-00225.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
IPC® HANDPIECE ATTACHMENT - INDIGO¿ DRILL
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
6743 southpoint drive north
jacksonville, FL 32216
7635265677
MDR Report Key24387759
Report Number1625507-2026-00072
Device Sequence Number18694103
Product Code HBE
UDI-Device Identifier00613994933690
UDI-Public(01)00613994933690(11)150722
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
K081475
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 04/30/2026
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 Model Number1845020
Device Catalogue Number1845020
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/02/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/27/2026
Supplement Date Received by Manufacturer04/29/2026
Initial Report FDA Received Date02/19/2026
Supplement Report FDA Received Date04/30/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured07/22/2015
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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