inforMED
MalfunctionHTT

UNK BURR

Received Sep 23, 2016 · Event occurred Sep 8, 2016

Report 1045834-2016-12810 · MDR key 5975022

Device

Generic name

Unknowno

Catalog number

UNKNOWN

Lot number

N/I

Product problems

  • Break
  • Detachment Of Device Component

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

UDI: THE PART NUMBER IS UNKNOWN. ALL ATTEMPTS TO OBTAIN PRODUCT INFORMATION WERE UNSUCCESSFUL. THEREFORE THE UDI NUMBER IS UNAVAILABLE. AS OF THIS DATE, THE DEVICE HAS NOT BEEN RETURNED FOR EVALUATION; THEREFORE, THE REPORTED CONDITION CANNOT BE CONFIRMED AND/OR DUPLICATED. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem

THIS IS EVENT 2 OF 2 OF THE SAME EVENT. IT WAS REPORTED THAT DURING AN UNSPECIFIED SURGICAL PROCEDURE, IT WAS DISCOVERED THAT THE CUTTER DEVICE BROKE OFF INSIDE THE HANDPIECE DEVICE. THERE WERE NO DELAYS TO THE PLANNED SURGICAL PROCEDURE AS A SPARE IDENTICAL DEVICE WAS AVAILABLE FOR USE. THERE WAS PATIENT INVOLVEMENT. THERE WERE NO REPORTS OF INJURIES, MEDICAL INTERVENTION OR PROLONGED HOSPITALIZATION. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED. IF ADDITIONAL INFORMATION SHOULD BECOME AVAILABLE, A SUPPLEMENTAL MEDWATCH REPORT WILL BE SUBMITTED ACCORDINGLY.