inforMED
MalfunctionDWH

UNKNOWN_INSTRUMENTSTIRE_PRODUCT

Received Dec 16, 2015 · Event occurred Nov 23, 2015

Report 0001811755-2015-04550 · MDR key 5301323

Device

Generic name

Unk

Catalog number

UNK_ICO

Product problems

  • Break

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

A PARTIAL BLADE AND THE HANDPIECE SAW (6206000000, SN (B)(4)) SUBJECT TO THIS INVESTIGATION WERE RETURNED TO THE MANUFACTURER FOR EVALUATION. IT WAS VISUALLY CONFIRMED THAT THE BLADE WAS BROKE. THE RETURNED PARTIAL BLADE PART NUMBER IS UNKNOWN. INVESTIGATION RESULTS INDICATE THAT EXCESSIVE PRESSURE MAY HAVE BEEN APPLIED, BUT THIS CANNOT BE CONFIRMED, THE ROOT CAUSE OF THIS EVENT IS UNDETERMINED.

Description of Event or Problem

IT WAS REPORTED THAT DURING SURGERY, THE BLADE BROKE AT THE MOUNT. IT WAS ALSO REPORTED THERE WERE NO DELAYS AND NO ADVERSE CONSEQUENCES AS A RESULT OF THIS EVENT. IT WAS FURTHER REPORTED THAT THE PROCEDURE WAS COMPLETED SUCCESSFULLY.

Additional Manufacturer Narrative

AWAITING DEVICE EVALUATION. A FOLLOW UP REPORT WILL BE FILED ONCE THE QUALITY INVESTIGATION IS COMPLETE.

Description of Event or Problem

IT WAS REPORTED THAT DURING SURGERY, THE BLADE BROKE AT THE MOUNT. IT WAS ALSO REPORTED THERE WERE NO DELAYS AND NO ADVERSE CONSEQUENCES AS A RESULT OF THIS EVENT. IT WAS FURTHER REPORTED THAT THE PROCEDURE WAS COMPLETED SUCCESSFULLY.