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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Exactech, Inc. 3.2MM DRILL BIT STERILE; Prosthesis, Shoulder, Non-Constrained, Metal/Polymer Cemented

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Exactech, Inc. 3.2MM DRILL BIT STERILE; Prosthesis, Shoulder, Non-Constrained, Metal/Polymer Cemented Back to Search Results
Catalog Number 321-52-07
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Codes Foreign Body In Patient (2687); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/18/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that a drill bit fractured during use.Specifically, the tip of the drill bit broke off and remained embedded in the patients glenoid.The fragment was not retrieved, as it was determined that attempting removal could have caused greater harm to the patient.The patient was reported to be functioning well following surgery.The patient was last known to be in stable condition following the event.No further information is available.
 
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Brand Name
3.2MM DRILL BIT STERILE
Common Device Name
Prosthesis, Shoulder, Non-Constrained, Metal/Polymer Cemented
Manufacturer (Section D)
Exactech, Inc.
2320 nw 66 court
gainesville FL 32653
Manufacturer (Section G)
Exactech
2320 nw 66 ct
gainesville FL 32653
Manufacturer Contact
julia goldberg
2320 nw 66 ct
gainesville, FL 32653
+1(352)377-1140
MDR Report Key50820974
Report Number1038671-2026-01203
Device Sequence Number10677730
Product Code KWT
UDI-Device Identifier10885862563811
UDI-Public10885862563811
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
K063569
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Consumer,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 09/18/2026
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 Catalogue Number321-52-07
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 09/02/2026
Initial Report FDA Received Date09/18/2026
Date Device Manufactured03/10/2026
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 Initial
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
See H11
Outcome Attributed to Adverse Event Hospitalization;
Patient Age78 YR
Patient SexMale
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