inforMED
MalfunctionHTT

HI-LINE XXS DIAM. NEURO CUTTER III D3.OMM

Received Jul 30, 2015 · Event occurred Jun 29, 2015

Report 2916714-2015-00641 · MDR key 4963932

Device

Generic name

Burr

Manufacturer

Aesculap, Inc.

Model number

GE843SU

Catalog number

GE843SU

Lot number

52015288

Product problems

  • Break

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

MANUFACTURING SITE EVALUATION: THE BURR WAS INVESTIGATED AND IT WAS DETECTED THAT THE BURR HEAD WAS BROKEN OFF. THE BREAKAGE IS LOCATED APPROXIMATELY 13 MILLIMETERS FROM THE BURR HEAD TO THE MIDDLE OF THE PRODUCT. THE BREAKAGE SURFACE WAS CHECKED AND FOLLOWS THE PATTERN OF A FORCED FRACTURE, VERY LIKELY CAUSED BY HIGH LATERAL FORCES APPLIED TO THE TOOL. THIS CORRESPONDS TO THE FINDINGS OF THE HANDPIECE GB794R (BELOW). INDICATIONS OF A MATERIAL OR MANUFACTURING DEFECT WERE NOT FOUND. ADDITIONAL COMPONENTS : GD675: FUNCTIONS AS INTENDED. GB790R: FUNCTIONS AS INTENDED. GB793R: FUNCTIONS AS INTENDED; HOWEVER, SHOWS SIGNS OF NORMAL WEAR FROM USE. GB794R: FOUND TO BE DAMAGED; SOME PARTS MISSING FROM THE TIP.

Additional Manufacturer Narrative

MANUFACTURING SITE EVALUATION: EVALUATION ON-GOING.

Description of Event or Problem

TIP BROKE DURING SURGERY. NO PATIENT INJURY OR SURGICAL DELAYS. ADD'L COMPONENTS IN USE: GB790R/HI-LINE XXS HANDPIECE. GD675/MICROSPEED UNI XS HIGHSPEED MOTOR (S/N (B)(4)). GB794R/HI-LINE XXS HANDPIECE SHAFT CURVED III (S/N (B)(4)).