MAUDE Adverse Event Report: STRYKER LEIBINGER FREIBURG TWIST DRILL FOR 6514-7-200, DIAM.1.5X16MM, 5MM WORKING LENGTH; INSTRUMENT

Model Number	60-15995
Health Effect - Clinical Code	No Known Impact Or Consequence To Patient (2692)
Date of Event	07/30/2019
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
The device has not yet been received at the manufacturer for testing.An evaluation will be conducted upon receipt of the device, and a follow-up report will be submitted after the quality investigation is complete.
Event or Problem Description
It was reported by a surgeon that a drill bit broke at the tip during a surgical procedure.The broken portion of the drill was removed from the patient body.The complainant was not aware of medical intervention or adverse consequences with this event, but the procedure was reported as completed successfully.
Additional Manufacturer Narrative
In the initial mdr record it was indicated that a complete device evaluation was expected; however, the device was ultimately unable to be returned.The reported event that the drill fractured could not be confirmed since the device was not returned for investigation.According to the event description the broken drill bit tip did not remain in the patient and could be retrieved.Because the fragments of the broken off drill have not been returned it is not possible to perform the product specific examinations and the root cause of the breakage of the drill cannot be determined.Based on the observations made in the comparable investigations where the fragments of the drills were returned, the most likely root cause could be attributed to a user related issue ¿ noncompliant usage ¿ overload.Summarized, within the investigation no indications were found for any product related issue.Therefore, no preventive and/or corrective actions are deemed to be necessary at this time.Product surveillance will continue to monitor complaints of this type for adverse trends and the complaint is added to the complaint trend.
Event or Problem Description
It was reported by a surgeon that a drill bit broke at the tip during a surgical procedure.The broken portion of the drill was removed from the patient body.The complainant was not aware of medical intervention or adverse consequences with this event, but the procedure was reported as completed successfully.

• Brand Name: TWIST DRILL FOR 6514-7-200, DIAM.1.5X16MM, 5MM WORKING LENGTH
• Common Device Name: INSTRUMENT
• Manufacturer (Section D): STRYKER LEIBINGER FREIBURG; boetzingerstr. 41; freiburg D-791 11; DE D-79111
• MDR Report Key: 8945699
• Report Number: 0008010177-2019-00056
• Device Sequence Number: 2099379
• Product Code: HBE
• UDI-Device Identifier: 07613327090017
• UDI-Public: 07613327090017
• Combination Product (Y/N): N
• PMA/510(K) Number: K070876
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: health professional
• Initial Reporter Occupation: Nurse
• Type of Report: Initial,Followup
• Report Date (Section B): 04/30/2020

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 Number: 60-15995
• Device Catalogue Number: 60-15995
• Device Lot Number: UNKNOWN
• Was Device Available for Evaluation?: No
• Initial Date Received by Manufacturer: 07/30/2019
• Supplement Date Received by Manufacturer: 07/30/2019
• Initial Report FDA Received Date: 08/29/2019
• Supplement Report FDA Received Date: 04/30/2020
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1