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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-AVA07
Medical Device Problem Code No Apparent Adverse Event (3189)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/07/2024
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
H3: product analysis: evaluation determined that the distal bearing is detached.The likely cause of failure couldn't be able to determined.It was also noted that the device runs very rough, the bearings are worn, laser markings are faded and tube movement is not fluent.G3: aware date used as date of analysis performed date as the event is reported based on evaluation findings.This regulatory report is being submitted due to retrospective review through capa 672570.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 customer had a dissatisfaction with the attachment.It was reported that there was no patient or staff impact.Additional information was received stating that bearings were detached found in analysis.
 
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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 Key25692830
Report Number1625507-2026-04114
Device Sequence Number15870458
Product Code HBE
UDI-Device Identifier00763000441227
UDI-Public(01)00763000441227(11)230426(20)02
Combination Product (Y/N)N
Initial Reporter CountryFR
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 Other Health Care Professional
Type of Report Initial
Report Date (Section B) 07/02/2026
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 NumberMR8-AVA07
Device Catalogue NumberMR8-AVA07
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer05/14/2024
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/05/2024
Initial Report FDA Received Date07/02/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/26/2023
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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