FDA Adverse Event Malfunction Summary report: N

SWITCHCUT REAMER KIT 4.5X9.0MM

MDR report key: 10777403 · Received November 3, 2020

Report

Report Number
8043971-2020-01520
Event Type
Malfunction
Date Received
November 3, 2020
Date of Event
February 20, 2020
Report Date
February 20, 2020
Manufacturer
T.A.G. MEDICAL PRODUCTS CORPORATION LTD
Product Code
MBI
UDI-DI
01081019001387
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE IS EXTREMELY BADLY DAMAGED WITH FRICTION MARKS AND TORN PARTS. ALSO , USAGE EXCEEDED EXPECTED PRODUCT LIFE. IT SHOULD BE USED ONLY 1 YEAR.

Description of Event or Problem · 1

IT WAS REPORTED DURING THE PROCEDURE THE SWITCHCUT REAMER BECAME WEDGED IN THE 4.5MM CANNULA/DRILL SLEEVE. WE THEN OPENED A SECOND SWITCHCUT AND INSTRUMENT SET. AS SURGEON WAS DRILLING THE SWITCHCUT REAMER AGAIN GOT STUCK IN THE SLEEVE AND HE COULDN'T PROCEED. SURGEON HAD TO SWITCH TO ARTHREX TO COMPLETE THE PROCEDURE. 1 HOUR AND 30 MIN DELAY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1241070 SWITCHCUT REAMER KIT 4.5X9.0MM SWITCHCUT REAMER KIT 4.5X9.0MM MBI T.A.G. MEDICAL PRODUCTS CORPORATION LTD 110027680 16R18 01081019001387

Patients

Seq Age Sex Outcome Treatment
1