inforMED
MalfunctionHTT

BURR, ORTHOPEDIC

Received Oct 22, 2019 · Event occurred Sep 23, 2019

Report 9218310 · MDR key 9218310

Device

Generic name

Burr, Orthopedic

Catalog number

14-C0108

Lot number

NQ5QZ

Product problems

  • Break
  • Detachment of Device or Device Component
  • Physical Resistance/Sticking

Patient

5110 DA

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

Narrative

Description of Event or Problem

BURR BROKE WHILE SURGEON WAS USING IT. THE SURGEON WAS USING IT ON A PEDICLE, AND THE BOTTOM END OF THE BURR BROKE OFF; IT WAS A CLEAN BREAK AND NO PIECES WERE IN THE PATIENT. THEN, THE TECHNICIAN COULDN'T GET THE REST OF THE BURR OUT OF THE PIECE OF EQUIPMENT THAT HOLDS IT; IT STAYED STUCK IN THE DRILL. OPERATING ROOM STAFF OBTAINED A NEW DRILL AND NEW BURR, AND THEN PROCEEDED WITH THE SURGERY AFTER A SHORT DELAY. THERE WAS NO INJURY TO THE PATIENT.