4 MM HIGH SPEED TAPERED DIAMOND BURR

Description of Event or Problem

ENDONASAL SINUS SURGERY WAS IN PROGRESS WHEN THE HIGH SPEED TAPERED DIAMOND, 4MM 70 DEGREE, BURR'S TIP (REF# (B)(4)/LOT#0209598413) WAS NOTED TO BE MISSING. NO PATIENT/STAFF HARM. ADDITIONAL BURRS OBTAINED FOR PROCEDURE TO CONTINUE. TWO MORE ENDONASAL DRILL ATTACHMENTS FROM THE SAME MANUFACTURER/COMPANY BROKE DURING THE CASE: FIRST, REF#(B)(4)/ LOT#0209504794 - HIGH SPEED ROUND DIAMOND BURR, 5MM 15 DEGREE, BURR'S 䓠NECK BROKE AND THE TIP POPPED OUT WHILE IN USE. SECOND, REF#(B)(4)/ LOT#0209237919 - HIGH SPEED TAPERED DIAMOND BURR 4MM 70 DEGREE, BURR BROKE.