The caution section of the instructions for use state, " always ensure that the driver blade/ drill is properly inserted into the collet by giving it a firm pull before use.Failure to properly insert a driver bit may result in injury to the patient, the user, or third party, damage to the driver, and may void the warranty." the product is still in use by the hospital and therefore will not be returned for an evaluation.Because the lot number is unknown, the device history records could not be pulled and reviewed.Without a product return, no product evaluation is able to be conducted.Current information is insufficient to permit a valid conclusion about the cause of this event.If additional information is obtained that adds value to the relevant content of this report and/or a conclusion can be drawn, a follow-up report will be sent.This is report two of two for the same event.Report one of two is reported on mfr #: 0001032347-2017-00213.
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