inforMED
MalfunctionHTW

TORNIER

Received Oct 14, 2009 · Event occurred Jul 27, 2009

Report 9610667-2009-00011 · MDR key 1508467

Device

Generic name

Drill Bit, Disposable, 3.5mm Hex

Manufacturer

Tornier Inc.

Catalog number

MWB133

Lot number

NOT REPORTED

Product problems

  • Detachment Of Device Component

Patient

77 YR

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

DURING THE SURGICAL PROCEDURE FOR A REVERSE SHOULDER ARTHROPLASTY, A DRILL BIT TIP BROKE OFF IN THE GLENOID. THE SURGEON WAS UNABLE TO REMOVE THE DRILL BIT TIP. NO PT INJURY OR NEGATIVE EFFECTS HAVE BEEN REPORTED. THIS SURGICAL INSTRUMENT HAS BEEN RETAINED BY THE CLINICAL FACILITY AND IS NOT AVAILABLE FOR MFG ANALYSIS. THE INSTRUMENT LOT NUMBER HAS NOT BEEN REPORTED. (B)(4).

Additional Manufacturer Narrative

THE DEVICE REPORTED IS AN ORTHOPEDIC SURGICAL INSTRUMENT. THE DEVICE IS NOT INTENDED AS AN IMPLANT. NO ADDITIONAL INFO IS ANTICIPATED FOR THIS EVENT.