inforMED
MalfunctionHBF

CODMAN DISPOS PERFORATOR

Received Jun 18, 2026

Report 3014334038-2026-00053 · MDR key 25547921

Device

Generic name

Disposable Perforator

Catalog number

261221

Lot number

7483559

Product problems

  • Fail-Safe Did Not Operate

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

AN INVESTIGATION HAS BEEN INITIATED BASED ON THE REPORTED INFORMATION. UPON COMPLETION OF THE INVESTIGATION, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem

A FACILITY REPORTED THAT THE AUTOMATIC CLUTCH MECHANISM DID NOT FUNCTION AS EXPECTED, AND THE CODMAN PERFORATOR (ID 261221) FAILED TO STOP AFTER PENETRATING THE PATIENT¿S SKULL. THE SURGEON DID NOT APPLY EXCESSIVE PRESSURE NEAR THE POINT OF PERFORATION, AND NO SERIOUS INJURY RESULTED. THE PROCEDURE WAS COMPLETED WITH A REPLACEMENT PRODUCT AVAILABLE. THE PERFORATOR WAS USED WITH A MEDTRONIC MIDAS REX ELECTRIC DRILL. THE PERFORATOR CLICKED INTO PLACE IN THE DRILL. THE RECOMMENDED SPRING TESTS WERE NOT PERFORMED BETWEEN EACH BURR HOLE. THE ANGLE OF APPROACH WAS MAINTAINED PERPENDICULAR, WITH NO ROCKING MOTION, AND CONSTANT DOWNWARD PRESSURE WAS APPLIED.